Managing diabetic ketoacidosis in special conditions: Difficulties and dilemmas

Figure 2 An algorithm for the management of diabetic ketoacidosis in pregnancy. ¹Serum potassium level > 5.5 mmol/L: No replacement, 3.5-5 mmol/L: Potassium replacement 40 mmol/L, < 3.5 mmol/L: Potassium regimen needs review. ²Anion gap: [Na⁺] - [Cl^- + HCO₃^-], corrected sodium = measured Na + 2[(plasma glucose in mg/dL - 100)/100]. ³No interventions on fetal behalf should be performed until stabilization of acute maternal condition has been achieved. s.c.: Subcutaneous; i.v.: Intravenous; DKA: Diabetic ketoacidosis.