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Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by methodical review of available evidence and consensus among committee members.

Clinical Pathways:

Inclusion and Exclusion Criteria


    • Patient has known or presumed diabetes mellitus and CO2 <16 mmol/L


    • Hyperglycemia without acidosis

Committee members involved in the development:

  • R. McDonough, DO | Endocrinology | Committee co-chair
  • T. Musick, DO | Endocrinology | Committee co-chair
  • A. Wagner, DO | Intensivist | Committee member
  • A. Stoner, MS, DO | Intensivist | Committee member
  • K. Heller, MD | Hospitalist | Committee member
  • T. Barnett, MD | Emergency Medicine | Committee member
  • S. Assad, BSN, RN, CPN | 6 Henson | Committee member
  • C. Cunningham, RN, MSN, CPN | Emergency Nursing | Committee member
  • S. Fagan, RN, BSN, CCRN-K | Pediatric Intensive Care Educator | Committee member
  • D. Porter, MSN, RN, CPN | 6 Henson | Committee member

MIT Committee Members:

  • J. Wheeler, MSN, RN-BC, CPN | Clinical Practice and Quality | Committee member
  • T. Frank, RPh, CPHIMS | Pharmacy Informatics Specialist | Committee member

EBP Committee Members:

  • K. Berg, MD, FAAP | Hospitalist | Evidence Based Practice
  • J. Bartlett PhD, RN | Evidence Based Practice
  • M. Gripka, MT (ASCP) SM | Evidence Based Practice
  • K. Reiling Ott, OTD, OTR/L | Evidence Based Practice

Publication dates:

  • Finalized date: 12/2022
  • Next expected revision date: 12/2025

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These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.