Diagnostic criteria:

  • High BM - >11 mmol/L
  • Ketones - >3 mmol/L
  • Acidosis  pH <7.3

Presentation:

  • Deep laboured breathing
  • Fruity smell of breath
  • Metabolic acidosis with increased Anion gap

Fluid bolus (± potassium) + fixed rate Insulin infusion, 0.1 units/kg/hr