Corrected Sodium for Glucose Calculator

Correct serum sodium for a high blood glucose.

How it is calculated

Both formulas add a fixed amount of sodium for every 100 mg/dL by which glucose exceeds 100 mg/dL: Nacorr = Nameas + k × (glucose − 100) / 100. Na is in mEq/L (numerically the same as mmol/L) and glucose in mg/dL. The Katz line uses k = 1.6, the Hillier line uses k = 2.4. If you choose mmol/L for glucose, the tool first multiplies by 18.0182 to get mg/dL. Results are rounded to one decimal. The 'correction' figure shown is the Katz adjustment only. Glucose below 100 mg/dL gives a small negative correction. Sodium outside 80–200 and glucose of zero or above 3000 mg/dL return no result.

Worked example

Measured sodium 128 mEq/L, glucose 600 mg/dL. Excess over 100: (600 − 100) / 100 = 5. Katz: 128 + 1.6 × 5 = 136.0 mEq/L, a correction of 8.0 mEq/L. Hillier: 128 + 2.4 × 5 = 140.0 mEq/L. The two formulas differ by 4 mEq/L at this glucose, which is why the tool shows both side by side. The measured 128 rises to 136.0 under Katz and 140.0 under Hillier.

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Common mistakes

  • Entering glucose in mmol/L while the unit is set to mg/dL. A reading of 33 mg/dL is treated as extremely low glucose and gives a negative correction, whereas 33 mmol/L is about 600 mg/dL.
  • Treating the corrected value as a replacement for the lab result. It is an estimate of what sodium would be at normal glucose, not a measurement.
  • Expecting Katz and Hillier to agree. At glucose near 100 mg/dL they match, but the gap grows with every extra 100 mg/dL.
  • Reading the 'correction' line as the combined effect of both formulas. It is the Katz adjustment only; the Hillier adjustment is 1.5 times larger.
  • Converting glucose to mg/dL by hand and then leaving the unit on mmol/L, so the value is multiplied by 18 twice.

About this calculator

Measured serum sodium falls artificially low when blood glucose is high, because the osmotic pull of extra glucose draws water out of cells and dilutes the sodium concentration in the blood — a state called translational hyponatremia rather than true sodium loss. The Katz correction (adding 1.6 mmol/L of sodium for every 100 mg/dL of glucose above 100 mg/dL) is the classic bedside formula, while the Hillier correction uses a steeper factor of 2.4 mmol/L per 100 mg/dL, derived from more recent clinical data showing the Katz formula underestimates the effect at very high glucose levels.

Clinicians use this correction when managing diabetic ketoacidosis, hyperosmolar hyperglycemic state, or any patient presenting with both hyperglycemia and low measured sodium, because treating the raw sodium number without correcting for glucose can lead to overly aggressive or unnecessary sodium replacement. The corrected value tells the treating team whether a patient's sodium is truly low, truly normal, or only appears low because of the glucose effect.

This calculator takes your measured sodium and glucose values and returns the corrected sodium under both the Katz and Hillier methods side by side, so you can see how the choice of formula affects the clinical picture.

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