- Increased thirst and urination
- Weight loss
- Vomiting (DKA)
- Lethargy (DKA)
- Deep Respirations (DKA)
URGENT: Call MD on-call to discuss and start treatment. If symptomatic, call Emergency Dept. (911)
On-Call Phone #
Day: (512) 628-1830
After Hours: (512) 323-5465
- Finger Stick Blood Glucose
- Urinalysis for KETONES and glucose
- If NOT acutely ill, consider STAT chemistry panel to determine disposition (direct admit vs. ER)
- If fasting BG over 126 mg/dl or a random BG 2 hour or OGTT over 200 mg/dl, then call is URGENT
- FOR ALL NEW DIAGNOSES of Diabetes Mellitus, please inform phone concierge call is URGENT
- DKA is likely if patient is vomiting, lethargic or abnormal respirations. Send immediately to Emergency Department AND notify Endocrine MD on-call.
Key Facts to Remember
- Signs of DKA warrant an urgent call and immediate referral to Emergency Department (call 911)
- Vomiting, Deep Respirations, Altered Level of Consciousness – Signs of Diabetic Ketoacidosis – Refer to Emergency Department (911) with call to PICU/Endocrine – Day: (512) 628-1830 or After Hours: (512) 323-5465
- Large Ketones in Urine
- CO2 < 15 on chemistry panel
- If Diabetes is clinically apparent, then a separate fasting glucose or 2 hour OGTT are not required, please call immediately.
- Obesity before age 5 is considered Early Onset and may indicate a genetic cause of the obesity.