====== Diabetic ketoacidosis ====== Diagnosed when patients exhibit all of the following: * Hyperglycemia * Blood glucose >200 mg/dL * Metabolic acidosis * Venous pH <7.3, or * Serum bicarb <15 mEq/L * Ketosis * Presence of ketones in blood or urine * Beta-hydroxybutyrate in blood or serum is the most accurate * Serum BOHB ≥ 3 mmol/L are present in most children with DKA Must differentiate from [[hhs|HHS]] because HHS is associated with more severe dehydration and higher frequency of complications than is typical DKA.