This page has specifically been designed to be the link to share the guidelines and will not change should updates to the guideline occur. Therefore the URL for this page should be used at your local website to link to the guidelines. The link below to the actual document should not be used as this could be subject to change.

This guideline for the management of DKA replaces the BSPED interim guideline published in 2020 and has been updated in light of the NICE Guidance NG18 which was updated in December 2020 and UK Resuscitation Council recommendations published in May 2021. It has been revised by the BSPED special interest group in diabetic ketoacidosis following a series of meetings. The relatively limited evidence regarding the management of DKA has been reviewed. Where there is appropriate evidence these guidelines have been based on such evidence. For many aspects of the management of DKA the evidence base is limited and where there is limited evidence, consensus recommendations have been consolidated. The guideline is broadly similar to the International Society for Paediatric and Adolescent Diabetes (ISPAD) and takes account of the updated NICE NG18 guidance.