Hey everyone. My name is Mike Estefan, and I thank you for joining me today on this month's

deep dive episode on the EM Clerkship podcast. This month, we're going to be talking about

diabetic ketoacidosis, or DCA, for short. Before we begin, just a quick word from our sponsors at Pearson Rabbit's Insurance.

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Now, back to our episode.

We're going to start by talking about the definition

of diabetic ketoacidosis and how we diagnose this in the ED. After that, the bulk of this

episode is going to be talking about the management of DCA. So, the definition of DCA is literally in the name.

Diabetic, meaning hyperglycemia.

Keto, meaning ketosis, the presence of ketone bodies in the blood.

And acidosis, a low bicarb.

Now, this can get a little tricky. It's not exactly 100% of the time straightforward.

For example, there is an entity called eoglycemic DCAA. It's basically DCAA, but you have a normal or only

slightly elevated blood glucose. And where we see this often is in patients taking

...