Treatment includes administration of intravenous saline to rehydrate and 5% dextrose to turn off gluconeogenesis. Electrolyte imbalances, specifically hypokalaemia, should be corrected. Thiamine supplementation is often included to prevent Wernicke encephalopathy. Insulin is generally not used due to risk of hypoglycemia. Other potential causes of the symptoms should be ruled out.
Alcoholic ketoacidosis
Diabetic ketoacidosis
Serkal syndrome
Flint water crisis
Hypovolemic shock
Diabetic coma
Septic shock
Hyperosmolar syndrome