This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.
Diabetic ketoacidosis: fluid and insulin
DKA in children: deficit by pH, maintenance, hourly rate over 48 h, insulin 0.05–0.1 U/kg/h and cerebral edema therapy according to BSPED 2021
Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.
Frequently asked questions
Diabetic ketoacidosis: fluid and insulin: What does this calculator compute?
Calculates, in diabetic ketoacidosis (DKA, acidosis due to insulin deficiency) in childhood, the fluid according to the British guideline BSPED 2021 (as of 2024): deficit 5 % in mild and moderate, 10 % in severe DKA, replacement over 48 hours plus maintenance according to Holliday-Segar, weight at most 75 kg. The 10 ml/kg bolus in a child without shock is subtracted from the deficit, shock boluses are not. Plus insulin 0.05–0.1 U/kg/h and the doses for suspected cerebral edema. Not reconciled with ISPAD 2022 or the German S3 guideline; local protocols take precedence.
Diabetic ketoacidosis: fluid and insulin: Which sources is this calculator based on?
British Society for Paediatric Endocrinology and Diabetes (BSPED): BSPED Guideline for the Management of Children and Young People under the age of 18 years with Diabetic Ketoacidosis – 2021 (2021)