DKA / HHS Diagnosis and Initial Management — free guideline decision tool
Discriminate DKA from HHS by glucose, blood gas, ketones and osmolality, and grade DKA severity, with the fluid/insulin/potassium plan. Instant, browser-side.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does DKA / HHS Diagnosis and Initial Management do?
Initial assessment and management framing of diabetic ketoacidosis and the hyperglycemic hyperosmolar state.
How is the result calculated?
DKA: glucose > 13.9 + ketones positive + pH < 7.3 or HCO₃⁻ < 18; severity by pH/HCO₃⁻ (mild 7.25–7.30 / 15–18, moderate 7.0–7.24 / 10–15, severe < 7.0 / < 10). HHS: glucose ≥ 33.3 + effective osmolality > 320 + no significant acidosis/ketosis. The two can coexist.
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run DKA / HHS Diagnosis and Initial Management now
Discriminate DKA from HHS by glucose, blood gas, ketones and osmolality, and grade DKA severity, with the fluid/insulin/potassium plan. Instant, browser-side.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.