Action
Search for alternative causes of hyperglycemia, acidosis, and/or hyperosmolality
Background
Table 2. Common Causes of Ketoacidosis
Condition | Blood Glucose Level |
Diabetic ketoacidosis | Elevated |
Alcoholic ketoacidosis | Normal or low |
Starvation ketoacidosis | Normal or low |
Isopropyl alcohol ingestion | Low to normal |
Table 3. Differential Diagnosis of Wide Anion-Gap Metabolic Acidosis (”MUDPILES”)
M | Methanol |
U | Uremia |
D | Diabetic / alcoholic ketoacidosis |
P | Propylene glycol, acetaminophen / paracetamol, phenformin / metformin |
I | Iron, isoniazid, inborn errors of metabolism |
L | Lactic acidosis |
E | Ethylene glycol |
S | Salicylates, solvents |
