Updated JBDS hyperosmolar hyperglycaemic state management guidance published

New recommendations on how to handle hyperosmolar hyperglycaemic state in people with diabetes can now be accessed. 

Entitled ‘The Management of Hyperosmolar Hyperglycaemic State in Adults’, the updated Joint British Diabetes Societies for Inpatient Care (JBDS-IP) guideline has been issued to enhance the management of hyperglycaemic emergencies.

Additionally, a new definition of resolution and new audit standards for hospital teams are included in the revised guidance.

First author of the updated recommendations and the Chair of the JBDS-IP, Professor Ketan Dhatariya said: “This document is an update of one of the older JBDS guidelines. It has been revamped and updated taking into account the new data that has become available since it was originally published.

“There are several new things in the document, including updated pathways, a new bedside monitoring chart, as well as the recognition that Hyperosmolar Hyperglycaemic State can occur in those under the age of 18. We have also put in a definition of resolution, something that has been missing.”

He continued: “As always there are live documents and we have taken into consideration many of the comments that have been raised over the years about this, and other JBDS documents.”

Hospital multidisciplinary Diabetes Specialist Teams, healthcare professionals looking after people with diabetes in hospital and all members of the community diabetes care provider teams can now access the guidance.

Professor Dhatariya added: “We encourage anyone who uses the guidance to get in touch with us if they feel something could be done differently or if they spot any errors. It is designed with the user in mind, but we are aware that we can always make things better.”

Hyperosmolar hyperglycaemic state is a medical emergency that impacts those with type 2 diabetes, the guidelines have reported.

According to the authors, hyperosmolar hyperglycaemic state usually affects adults over the age of 45; however, it can occur amongst younger individuals and adolescents.

Hyperosmolar Hyperglycaemic State is less common than diabetic ketoacidosis, and it requires a different treatment approach.

To read the updated guidance, click here.

Access the revised JBDS Hyperosmolar Hyperglycaemic State care pathways in adults here.

Photo by Irwan iwe on Unsplash

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