use beta hydroxybutyrate, ketones, and not pH to diagnose DKA

• related: DKA diabetic ketoacidosis and HHS
• tags: #permanent

• patients can have DKA and have normal pH and bicarb
  • if they have vomiting, they can also have concomitant metabolic alkalosis
• using urine ketones and elevation in beta hydroxybutyrate is a better way to assess DKA.¹

Links to this note

• DKA diabetic ketoacidosis and HHS
  • use beta hydroxybutyrate, ketones, and not pH to diagnose DKA