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Medicine

Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State Management Protocols

Quick fact

The mortality rate for DKA is less than 1% in experienced centers, but for HHS it can reach 5%–20%, especially in the elderly—often due to the underlying precipitating illness rather than the hyperglycemia itself.

Why this is interesting

Imagine a diabetic patient arriving in the ER with extreme thirst, confusion, and breath that smells like nail polish remover. They need more than just sugar control—they need a series of precise steps within hours.