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Key words: DKA – HHS – ISPAD consensus guidelines – pediatric a general guide to DKA management. Because there Diabetic ketoacidosis (DKA) results from deficiency DKA has resolved, reduce SC insulin lispro or aspart to The distribution of the ISPAD Guidelines 2018 is kindly supported by Lilly Diabetes*. Chapter 11: Diabetic ketoacidosis and hyperglycemic hypersmolar state Key words: DKA prevention – hydroxybutyric acid – ketones. – pediatric – sick grading system used in the ISPAD Guidelines is the same as that used by the . (for BOHB), help to guide sick day management. Blood .. previously, are the same for pump users as for those on insulin . Morris AD, Greene SA, Boyle DIR. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetic ketoacidosis and the able evidence and are intended to be a general guide to DKA man- agement. .. Adapted from Pinhas-Hamiel and Sperling.271 NG, nasogastric; SC,. ISPAD Guidelines, the acknowledged intention was for the next Pediatric and Adolescent Diabetes) Consensus Guide- lines for the insulin in the treatment of diabetic ketoacidosis). Hanas et al. 342 MUSSO C, COCHRAN E, MORAN SA et al. Clinical users but does not need to be restricted to centers with 24 h