Quality Standards for Diabetes Care Toolkit

Guidelines

Inpatient management

The NICE Guideline CG15 Type 1 diabetes: Diagnosis and management of type 1 diabetes in children, young people and adults has specific guidance for management of diabetic ketoacidosis inpatient setting (refer section 1.12.2): www.nice.org.uk/guidance/cg15/resources/guidance-type-1-diabetes-pdf.
The NICE ‘Managing diabetic ketoacidosis’ interactive pathway can be found here: http://pathways.nice.org.uk/pathways/diabetes#path=view%3A/pathways/diabetes/managing-type-1-diabetes-in-adults.xml&content=view-node%3Anodes-managing-diabetic-ketoacidosis
The Joint British Diabetes Societies Inpatient Care Group (2013) has the following guidelines for diabetic ketoacidosis in adults: http://diabetologists-abcd.org.uk/JBDS/JBDS_IP_DKA_Adults_Revised.pdf.
The Joint British Diabetes Societies Inpatient Care Group (2012) has the following guideline for the management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes: www.diabetologists-abcd.org.uk/JBDS/JBDS_IP_HHS_Adults.pdf.
Craig et al (2011) for the Australian Type 1 Diabetes Expert Advisory Group: The Australian national evidence-based clinical care guidelines for type 1 diabetes in children, adolescents and adults suggest most DKA cases occur in people with an existing diagnosis of diabetes; therefore, they should be generally preventable through frequent monitoring of blood glucose levels, early detection of ketones and by adequate replacement of insulin. The guidelines recommend education of patients, health care professionals and the general public to reduce the frequency of hospitalisations for DKA. Improved follow-up care and access to timely medical advice will further reduce readmission rates.