Phosphate deficiency is common in diabetic emergencies and is mainly a result of phosphaturia. Moreover, serum levels fall during treatment. There is increasing awareness of the dangers of hypophosphatemia, particularly in the critically ill. Therefore, as with potassium, it would seem logical to measure phosphate regularly and replace it as necessary to normal levels. As phosphate is usually given in a potassium-containing solution, simultaneous infusions of potassium may have to be slowed or stopped.

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