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Internal medicine journal · Sep 2024
Examining capillary ketone testing in hospitalised patients: indications and outcomes.
- Thomas Kent, Julie Loughran, Bella Halim, Spiros Fourlanos, Lachlan Hayes, and Mervyn Kyi.
- Northern Health, Melbourne, Victoria, Australia.
- Intern Med J. 2024 Sep 1; 54 (9): 157215761572-1576.
AbstractElevated blood ketone levels (ketosis) in inpatients with diabetes can herald diabetic ketoacidosis (DKA). However, ketosis can also occur in individuals without diabetes in certain settings. It is unclear what proportion of inpatients with ketosis are in DKA and which patients are at the highest risk of DKA. This study determined that many ketone tests are performed in individuals at low risk of DKA, and a β-hydroxybutyrate <1.0 mmol/L had a low incidence of DKA and less need for escalation in their management.© 2024 Royal Australasian College of Physicians.
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