Diabetes

Question
Posted by: DocAJ | 2012/06/08

Q.

DKA

I hope someone can shed some scientific light on this matter:

DKA: Diabetic Ketoacidosis

Which fluid (IV therapy) will be the best to use?
1. Ringers Lactate
2. Normal saline (0.9%)

Expert's Reply

A.

Diabetes expert

Dear DocAJ
The reason you ask the question is because there is no definitive answer for this. The time honored approach is to use normal saline, and although this has been challenged in favour of ringer’s lactate, no reproducible clinical trial data has shown an advantage. Current SEMDSA guidelines gives one choice in terms of either fluid.

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2
user comments

C.

Posted by: Venessa Langham | 2012/06/18

My son has Scleroderma, of which not much is known in South Africa. Does anyone know of an organisation or Dr. in South Africa, who specialises in this Autoimmune disease,

Reply to Venessa Langham
Posted by: Diabetes Expert | 2012/06/14

Dear DocAJ
The reason you ask the question is because there is no definitive answer for this. The time honored approach is to use normal saline, and although this has been challenged in favour of ringer’s lactate, no reproducible clinical trial data has shown an advantage. Current SEMDSA guidelines gives one choice in terms of either fluid.

Reply to Diabetes Expert

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