Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>NA<\/p>\n\n<h4 data-end=\"2095\" data-start=\"2066\"> <\/h4>\n<\/body>\n<\/html>\n","additional_explanations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>Hyperglycemic ketosis in individuals with type 1 diabetes using cannabis is associated with cannabis hyperemesis syndrome, which is marked by severe nausea, abdominal pain, and vomiting. Recommended diagnostic criteria for hyperglycemic ketosis cannabis hyperemesis syndrome include a blood glucose of ≥250 mg\/dL, an anion gap of >10, a serum β-hydroxybutyrate level of >0.6 mmol\/L, a pH level of ≥7.4, and a bicarbonate level of ≥15 mmol\/L.<\/p>\n<\/body>\n<\/html>\n","interpretation":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>NA<\/p>\n<\/body>\n<\/html>\n","recommendations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>Advise people with type 1 diabetes (C) and those with other forms of diabetes at risk for diabetic ketoacido sis not to use recreational cannabis in any form. (E)<\/p>\n<\/body>\n<\/html>\n","original_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>American Diabetes Association Professional Practice Committee for Diabetes, 2026, 'Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2026', Diabetes Care, vol. 49, supp. 1, pp. S89–S131.<\/p>\n<\/body>\n<\/html>\n","validation_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","other_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>NA<\/p>\n<\/body>\n<\/html>\n","reference_tool":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","principleValidated":"false","toolLanguage":"1","setAbbreviation":"true","abbreviation_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<table class=\"table\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<td>CHS<\/td>\n\t\t\t<td>Cannabis hyperemesis syndrome<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>pH<\/td>\n\t\t\t<td>Potential of hydrogen<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n<p> <\/p>\n<\/body>\n<\/html>\n","setFootnote":"false","footnote_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","setToolProfileBtn":"true","indicated_in_patients":"Type 1 Diabetes Mellitus (T1DM)","indicated_in_ff_interventions":"NA","predicted_outcomes":"NA","prediction_period":"NA","setScoreWarningText":"false","setCustomizeWarningText":"false","customizeWarningText":"","setBlueHighlightForInput":"false","setRecommendationRejection":"true","setFeedbackButton":"false","setMindMapAvailable":"false","setDocumentStatus":"false","setToolTestedStatus":"false","tool_development_supported_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","promo_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>This CDS tool aids in the detection of Cannabis Hyperemesis Syndrome (CHS) in individuals with Type 1 Diabetes Mellitus (T1DM) experiencing diabetic ketoacidosis (DKA) with ketosis but lacking significant metabolic acidosis. It evaluates clinical and laboratory parameters to support differential diagnosis and guide management decisions.<\/p>\n<\/body>\n<\/html>\n","sub_title":"Cannabis Hyperemesis Syndrome in Type 1 Diabetes (ADA 2026 Standards)","feedback_link":"","feedback_option":"","feedback_email":"","selected_tool_type":"cdss","index_term":"Cannabis Hyperemesis Syndrome (CHS), CHS (Cannabis Hyperemesis Syndrome)","full_text":"","tool_category":"9","translatedLanguages":"","primary_medical_specialty":"105","restorationCompatibleVersions":"","releaseVersion":"NR","releaseDate":"","releaseMode":"1","publishedBy":"Börm Bruckmeier Verlag GmbH"}}

{"metaInformation":{"toolId":"0000000849","toolVersion":"1.1","toolType":"Dashboard","toolName":"Cannabis Hyperemesis Syndrome in People with Type 1 Diabetes","creationDate":"2025\/Feb\/25","publishedDate":"2025-12-10","expiryDate":"","author":"Shantanu Patil","columnList":["Diagnostic Criteria"],"setTimerClock":"false","setPdfbtn":"false","setResetbtn":"true","setCopyRightText":"false","setCustomizeCopyRightText":"false","customizeCopyRightText":"","setMoreInformation":"false","moreInformationLink":"","abbreviated_title":"","synonyms_titles":"","medical_specialty":"105,106","medical_device":"","approved_by":"","intended_purposes":"Assist clinicians in diagnosing CHS in patients with T1DM and ketosis","indication":"","prediction":"","caution":"NA","mathematical_formula":"\n\n\n\tDocument<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>NA<\/p>\n\n<h4 data-end=\"2095\" data-start=\"2066\"> <\/h4>\n<\/body>\n<\/html>\n","additional_explanations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>Hyperglycemic ketosis in individuals with type 1 diabetes using cannabis is associated with cannabis hyperemesis syndrome, which is marked by severe nausea, abdominal pain, and vomiting. Recommended diagnostic criteria for hyperglycemic ketosis cannabis hyperemesis syndrome include a blood glucose of ≥250 mg\/dL, an anion gap of >10, a serum β-hydroxybutyrate level of >0.6 mmol\/L, a pH level of ≥7.4, and a bicarbonate level of ≥15 mmol\/L.<\/p>\n<\/body>\n<\/html>\n","interpretation":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>NA<\/p>\n<\/body>\n<\/html>\n","recommendations":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>Advise people with type 1 diabetes (C) and those with other forms of diabetes at risk for diabetic ketoacido sis not to use recreational cannabis in any form. (E)<\/p>\n<\/body>\n<\/html>\n","original_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>American Diabetes Association Professional Practice Committee for Diabetes, 2026, 'Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2026', Diabetes Care, vol. 49, supp. 1, pp. S89–S131.<\/p>\n<\/body>\n<\/html>\n","validation_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","other_reference":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>NA<\/p>\n<\/body>\n<\/html>\n","reference_tool":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","principleValidated":"false","toolLanguage":"1","setAbbreviation":"true","abbreviation_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<table class=\"table\">\n\t<tbody>\n\t\t<tr>\n\t\t\t<td>CHS<\/td>\n\t\t\t<td>Cannabis hyperemesis syndrome<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>pH<\/td>\n\t\t\t<td>Potential of hydrogen<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n<p> <\/p>\n<\/body>\n<\/html>\n","setFootnote":"false","footnote_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\t<link href=\"https:\/\/svc.webspellchecker.net\/spellcheck31\/wscbundle\/css\/wsc.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\" data-wsc-instance=\"true\"><\/body>\n<\/html>\n","setToolProfileBtn":"true","indicated_in_patients":"Type 1 Diabetes Mellitus (T1DM)","indicated_in_ff_interventions":"NA","predicted_outcomes":"NA","prediction_period":"NA","setScoreWarningText":"false","setCustomizeWarningText":"false","customizeWarningText":"","setBlueHighlightForInput":"false","setRecommendationRejection":"true","setFeedbackButton":"false","setMindMapAvailable":"false","setDocumentStatus":"false","setToolTestedStatus":"false","tool_development_supported_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\"><\/body>\n<\/html>\n","promo_text":"<!DOCTYPE html>\n<html lang=\"\">\n<head><meta charset=\"UTF-8\"><meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n\t<title>Document<\/title>\n\t<link href=\"\/cdst_editor\/media\/css\/temp.css\" rel=\"stylesheet\" \/>\n\t<link href=\"https:\/\/cpms.bbinfotech.com\/cdst_editor\/media\/lib\/ckeditor\/plugins\/tableselection\/styles\/tableselection.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<\/head>\n<body class=\"extraInfoForRule\">\n<p>This CDS tool aids in the detection of Cannabis Hyperemesis Syndrome (CHS) in individuals with Type 1 Diabetes Mellitus (T1DM) experiencing diabetic ketoacidosis (DKA) with ketosis but lacking significant metabolic acidosis. It evaluates clinical and laboratory parameters to support differential diagnosis and guide management decisions.<\/p>\n<\/body>\n<\/html>\n","sub_title":"Cannabis Hyperemesis Syndrome in Type 1 Diabetes (ADA 2026 Standards)","feedback_link":"","feedback_option":"","feedback_email":"","selected_tool_type":"cdss","index_term":"Cannabis Hyperemesis Syndrome (CHS), CHS (Cannabis Hyperemesis Syndrome)","full_text":"","tool_category":"9","translatedLanguages":"","primary_medical_specialty":"105","restorationCompatibleVersions":"","releaseVersion":"NR","releaseDate":"","releaseMode":"1","publishedBy":"Börm Bruckmeier Verlag GmbH"}}