Pearls and Pitfalls in Severe DKA Management

Lecture at ACVC 2019 focusing on the 7 keys to successful management of severely sick DKA patients. These are the notes and supplemental materials mentioned in the lecture.

 

Get the proceedings here: Download

 

Summary of published DKA insulin administration protocols here.

 

Download a printable copy of this chart here: Download

 

VECCS/VIN Webinar by Andrew Linklater, DVM, DACVECC about the Libre Continuous Glucose Monitoring System in DKA patients (Must be a VECCS or VIN member to watch the replay). More info here.

 

References and suggested reading:

1: Corradini S, Pilosio B, Dondi F, Linari G, Testa S, Brugnoli F, Gianella P,
Pietra M, Fracassi F. Accuracy of a Flash Glucose Monitoring System in Diabetic
Dogs. J Vet Intern Med. 2016 Jul;30(4):983-8. doi: 10.1111/jvim.14355. Epub 2016
Jun 18. PubMed PMID: 27318663; PubMed Central PMCID: PMC5094557.

2: DiFazio J, Fletcher DJ. Retrospective comparison of early- versus late-insulin
therapy regarding effect on time to resolution of diabetic ketosis and
ketoacidosis in dogs and cats: 60 cases (2003-2013). J Vet Emerg Crit Care (San
Antonio). 2016 Jan-Feb;26(1):108-15. doi: 10.1111/vec.12415. Epub 2015 Nov 9.
PubMed PMID: 26551019.

3: Cooper RL, Drobatz KJ, Lennon EM, Hess RS. Retrospective evaluation of risk
factors and outcome predictors in cats with diabetic ketoacidosis (1997-2007): 93
cases. J Vet Emerg Crit Care (San Antonio). 2015 Mar-Apr;25(2):263-72. doi:
10.1111/vec.12298. PubMed PMID: 25845506.

4: Gallagher BR, Mahony OM, Rozanski EA, Buob S, Freeman LM. A pilot study
comparing a protocol using intermittent administration of glargine and regular
insulin to a continuous rate infusion of regular insulin in cats with naturally
occurring diabetic ketoacidosis. J Vet Emerg Crit Care (San Antonio). 2015
Mar-Apr;25(2):234-9. doi: 10.1111/vec.12269. Epub 2014 Dec 24. PubMed PMID:
25546713.