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The SimKit Podcast

Piece of Cake: DKA/HHS Update Part I​ with Dr. George Willis

Feb 3, 2025
Join Dr. George Willis, an expert in endocrinology, as he dives into the latest American Diabetes Association guidelines on DKA and HHS management. The discussion unveils the rising prevalence of these hyperglycemic crises and emphasizes the critical role of mental health in effective diabetes care. Dr. Willis highlights the complex pathophysiology of DKA, the importance of sodium levels in HHS, and offers vital insights for recognizing these conditions in pediatric patients, especially during respiratory illnesses.
44:18

Episode guests

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Quick takeaways

  • The 2024 ADA consensus guidelines highlight the increasing incidence of DKA and HHS, necessitating updated management protocols for improved patient outcomes.
  • Understanding the distinct pathophysiological mechanisms of DKA and HHS is crucial for emergency providers to effectively recognize and treat these hyperglycemic crises.

Deep dives

Introduction of New Guidelines

The release of the 2024 ADA consensus guidelines is a significant advancement in managing diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS), updating recommendations that had been in place since 2009. This new set of guidelines incorporates research and recommendations from various international diabetic organizations, reflecting a more comprehensive approach to patient management. Key updates include the recognition of euglycemic DKA and new treatment management protocols, which are essential for both emergency and primary care providers. These updated guidelines serve to enhance clinical practice and improve patient outcomes, particularly in patients experiencing complex hyperglycemic crises.

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