LR and DKA

J. Burdett said:
Why do you say that?

I have a sneaking suspicion ;) I'm just wondering if it's for the same reason.
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Typically DKA is a complication of insulin-dependent diabetes mellitus.

If you were talking HHNK on the other hand...
 
usalsfyre said:
Most of your DKA patients aren't going to be taking Metformin...
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Remember that Type II diabetes can be progressive in the pt with poor eating habits. That can easily render Metformin ineffective and the pt would have to start taking insulin. Sometimes, the pt finds this out the hard way if they don't routinely check their glucose levels by experiencing HHNS. I say HHNS because that's what we encounter most of the time since DKA is more prevalent in the Type I diabetics.
 
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