Changes in diabetic ketoacidosis diagnostic criteria between 2009 consensus statement and 2024 consensus report
| Diagnostic criteria | 2009 Consensus statement4 | 2024 Consensus report5 |
|---|---|---|
| Plasma glucose (D criterion) | Glucose > 250 mg/dL | Glucose ≥ 200 mg/dL OR History of diabetes, irrespective of the presenting glucose value |
| Ketosis (K criterion) | Serum ketones: positive Urine ketones: positive | Beta-hydroxybutyrate ≥ 3 mmol/L OR Urine ketone strip ≥ 2+ |
| Metabolic acidosis (A criterion) | pH ≤ 7.3 Bicarbonate ≤ 18 mmol/L Anion gap > 10 | pH < 7.3 with or without bicarbonate < 18 mmol/L Anion gap was removed as a diagnostic criterion |