2022-2024 EDW Enduring Program: Management of Diabetic Ketoacidosis (DKA) & Hyperosmolar Hyperglycemic State (HHS) in the ICU

Course Instructions

Registration is required. Due to the requirements of our accreditation, credits are not applied until all portions of the activity participation threshold have been met.

Method of Evaluation: Post-Test must be completed and passed with a minimum of 80%

Media Type: Video

Method of Learner Participation:

Participants must complete the following to complete the activity:

• View the video
• Review the additional documents
• Complete the post-test with an 80% or higher
• Complete the evaluation

Estimated Time to Complete the Activity: Approximately 1 hour (+/-) 15 minutes to review document and complete post-test.

Release date:  6/1/2022 Expiration date: 12/31/2023

Copyright © 2022 Edward-Elmhurst Health, Accredited CME Program 

Wednesday, June 1, 2022, 7:30 AM - Tuesday, December 31, 2024, 8:30 AM, Online Enduring

Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are the two most common hyperglycemic emergencies inpatients with type 1 and type 2 diabetes. DKA accounts for 4-9% of all hospital discharge summaries among patients with diabetes, which, in the United States, is an annual average of greater than 170,000 hospitalizations for DKA. The mortality rate is less than 2%, but the prognosis of both conditions is substantially worsened in patients >65 years of age and in the presence of coma and hypotension. Precipitating causes of DKA/HHS are primarily due to stopped insulin, new onset diabetes, pancreatitis, ETOH (alcohol) abuse and infections. The emergence of COVID-19 in December 2019 has been a factor in increased cases of DKA, complicating management due to increased steroid use and acute renal insufficiency. Likewise, admissions for euglycemic DKA have increased with use of SGLT-2 inhibitors, requiring additional considerations in optimal medical management. DKA/HHS medical management in the ICU requires a team approach with detailed knowledge of fluid, electrolyte, and insulin restoration to recover the patient with DKA/HHS. This activity has been designed to review the pathophysiology of DKA, address key factors of management by examining best practice therapeutic approaches and case study review.

1. 1) Apply key therapeutic approaches to diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) management in the ICU.
2. 2) Explain the maintenance phase of diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) management in the ICU.
3. 3) List the transition phases of diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) management in the ICU.

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Attendance (1.00 hours)

Endeavor Health: Edward-Elmhurst Hospitals is accredited by the Illinois State Medical Society to provided accredited continuing medical education. Endeavor Health: Edward-Elmhurst Hospitals designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Mitigation of Relevant Financial Relationships

Edward-Elmhurst Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of an accredited CME activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Edward-Elmhurst Health Accredited CME Cancellation Policy

The Edward-Elmhurst Health Accredited CME Department reserves the right to cancel, reschedule or combine program events that are below the minimum participant requirement. Should a cancellation occur, participants are notified by email about the cancellation or about any alternative program event(s).

Out of respect for our speaker(s) time and the administrative costs incurred hosting activities, the Edward-Elmhurst Health Accredited CME Program requires a minimum cancellation notice of 48-hour on all live activities. Cancellations should be in written form to [email protected] or via the cancellation button located at the bottom of the confirmation email for the activity.

The Edward-Elmhurst Health Accredited CME Department reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event that EEH’s Accredited CME Department must cancel or postpone this course, the registrations will be transferred to the new date/time.  Edward-Elmhurst Health is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline, travel or lodging agencies.

All requests must be submitted in writing to [email protected]. This is a general cancellation policy.  Your course may detail special conditions. Any use of this site constitutes your agreement to Edward-Elmhurst Health’s Accredited CME Department Terms of Use and Privacy Policy.

Additional Resources:

• 1) American Diabetes Association - Abridged Version
  Guidelines for Diabetes Management for Primary Care providers
• 2) Dr. DeHererra-Codo's PowerPoint Slides