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Hyperglycemic Crises in Adult Patients With Diabetes: A Consensus Statement From the American Diabetes Association

Response to Kitabchi et al.

  1. Viktor Rosival, PHD
  1. From the SYNLAB Department of Clinical Biochemistry, Dérer's Hospital, Bratislava, Slovakia
  1. Address correspondence to Viktor Rosival, SYNLAB Department of Clinical Biochemistry, Dérer's Hospital, Limbová 5, SK-833 05 Bratislava, Slovakia. E-mail: rosivalv{at}hotmail.com

In the recent consensus statement by Kitabchi et al. (1) is a serious contradiction. In diagnosis, the authors write that “the initial laboratory evaluation of patients with suspected [diabetic keotacidosis] … should include determination of … osmolality … Studies on serum osmolality and mental alteration have established a positive linear relationship between osmolality and mental …

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