Diabetic Ketoacidosis (DKA)
Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.
Clinical Pathways:
- DKA vs HHS Algorithm
- DKA Algorithm
- Insulin Drip Care Algorithm
- DKA Synopsis (provides care standards employed for this clinical pathway)
Inclusion and Exclusion Criteria:
Inclusion:
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- Patient has known or presumed diabetes mellitus and documented blood glucose > 200 mg/dL
Exclusion:
-
- Hyperglycemia without acidosis
Committee members involved in the development:
- Tiffany Musick, DO | Endocrinology | Committee chair
- Michelle Knoll, MD, MPHE | Endocrinology | Committee member
- Ásdís Finnsdóttir Wagner, DO | Intensivist | Committee member
- Alyssa Stoner, MS, DO | Intensivist | Committee member
- Angela Etzenhouser, MD | Hospitalist | Committee member
- Theodore Barnett, MD | Emergency Medicine | Committee member
- Sally Fagan, RN, BSN, CCRN-K | Pediatric Intensive Care Educator | Committee member
- Deanna Porter, MSN, RN, CPN | 6 Henson | Committee member
- Amanda Nedved, MD | Urgent Care | Reviewer
EBP Committee Members:
- Katie Berg, MD, FAAP | Hospitalist | Evidence Based Practice
- Megan Gripka, MPH, MLS (ASCP) SM | Evidence Based Practice
Publication dates:
- Finalized date: 04/2026
- Next expected revision date: 04/2029
Concerns with content:
If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu.
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.