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Doctor insights on: Alarm Diabetic Coma

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What is a diabetic hyperglycemic hyperosmolar coma?

Dehydration: If you have type 2 diabetes that gets very out of control due to infection, stress, surgery, cortisone or other factors, you can become severely dehydrated as well as have a very high glucose. This can even lead to coma, with an up to 50% morbidity if not treated quickly and effectively with large amounts of IV fluids, a small amount of insulin, control of the original cause and adjustment of elec. ...Read more

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Dr. Rashed Hasan
406 doctors shared insights

Coma (Definition)

Coma = deep state of unconsciousness due ...Read more


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How's hyperosmolar hyperglycemic nonketotic coma treated?

How's hyperosmolar hyperglycemic nonketotic coma treated?

Insulin and fluid: Insulin and saline are administered intravenously and other medications added depending on the clinical findings and lab tests. ...Read more

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Can hyperglycemia cause a diabetic coma?

Can hyperglycemia cause a diabetic coma?

Yes: If the hyperglycemia is high enough it can lead to diabetic coma. We call this hyperosmolar hyperglycemia coma or syndrome. Diabetes ketoacidosis coma is another form of diabetic coma but this one is caused by not having Insulin rather than the extreme hyperglycemia (which is just a sign for this coma). ...Read more

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How is a hyperosmolar hyperglycemic nonketotic coma treated?

How is a hyperosmolar hyperglycemic nonketotic coma treated?

Coma: It should be treated in an intensive care unit (ICU) with close monitoring of the blood glucose and other electrolytes (salts) and treatment to slowly decrease the blood glucose. ...Read more

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Can a non diabetic patient suffers hypoglycemia?

Can a non diabetic patient suffers hypoglycemia?

Reactive hypogly. : If you're referring to reactive hypoglycemia, then that to which you refer is fairly common. It's related to the overly brisk response of the pancreas to ingestion of simple sugar. Non-diabetics can certainly experience this. ...Read more

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Blood glucose over 1300. In ketoacidotic coma. Cardiovascular event -- undiagnosed. Alone for 24+ hours before discovery. Prognosis?

Blood glucose over 1300. In ketoacidotic coma. Cardiovascular event -- undiagnosed. Alone for 24+ hours before discovery. Prognosis?

Don't despair: Coma outcomes are often very unpredictable, and after several days of hospital care, survival is often very likely. However, do have concerns for eventual preservation of cognitive function, and this may be permanently damaged. But, hang in there, have family conferences daily with the doctors, and ask as many questions as you need answered. Outcomes vary sharply. ...Read more

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Help! diabetic wake from sleep when hypoglycemic?

Help! diabetic wake from sleep when hypoglycemic?

Not sure question: The body has built in mechanisms that hopefully work when we need them to like waking when blood sugar too low, blood pressure to high, temperature flutuates too much. This is a serious problem. If becoming hypoglycemic adjustments need to be made with med regimen during the day/evening. Talk with dr. ...Read more

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Diabetic pt allready having polyuria so why given diuresis medicen? (having htn and diabetis mellitse)

Diabetic pt allready having polyuria so why given diuresis medicen? (having htn and diabetis mellitse)

For BP control: Polyuria in diabetics is due to poorly controlled blood glucose. Diuretics such as Furosemide help remove excess salt and water and control hypertension. In order to improve your polyuria you will need strict control of diabetes. ...Read more

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Insulin resistant severe weight loss. Hypoglycemic many years before diabetic.Causes?

Insulin resistant severe weight loss. Hypoglycemic many years before diabetic.Causes?

Absolute deficiency: Insulin resistance is seen in obesity or being overweight is associated with Insulin resistance state . Insulin basically enhance anabolism( versus catabolic hormones ) and utilization of glucose from all the sources ( fat , carbohydrate and , protein). Severe weight loss is an indicator of Insulin deficiency. This Insulin deficiency should be absolute as in type i or Insulin dependent diabetes. ...Read more

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Can someone without diabetes but slightly elevated blood sugar develop diabetic retinopathy?

Can someone without diabetes but slightly elevated blood sugar develop diabetic retinopathy?

Unlikely. : Usually, we would look for other causes. Sometimes anemia and other conditions can lead to a hemorrhage in the eye. On occasion, especially with another ischemic process such as high blood pressure, we can see changes in the retina that may be identical to some seen in diabetic retinopathy. ...Read more

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Can septic abortion cause diabetic ketoacidosis ?

Can septic abortion cause diabetic ketoacidosis ?

Depends: Only people with diabetes can develop diabetic ketoacidosis. If someone who already has diabetes has a septic abortion, that is, an abortion that becomes infected, they could develop the condition. Diabetic ketoacidosis is often caused by an underlying infection. ...Read more

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What causes a diabetic coma?

Uncontrolled glucose: Both low and high blood glucose can lead to impairments in consciousness. ...Read more

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What causes diabetic ketoacidosis?

What causes diabetic ketoacidosis?

Ketoacidosis: Most often this reflects a very high blood sugar but that is not always the reason. YOU SHOULD GO IMMEDIATELY TO A LOCAL EMERGENCY ROOM!! ...Read more

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Blood sugar drops below 2.9 mmol/l after eating healthy meals. Hypoglycemic attacks during sleep. Dialy basis. 27, male, 8-10% bodyfat. Non-diabetic. ?

Blood sugar drops below 2.9 mmol/l after eating healthy meals. Hypoglycemic attacks during sleep. Dialy basis. 27, male, 8-10% bodyfat. Non-diabetic. ?

episodes of: Hypoglycemic attacks need work up , from poor dietary habits to tumors that produce Insulin like substances . You have to see your doctor , hypoglycemia can damage your body ( and brain ). ...Read more

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What blood sugar results in a diabetic coma?

What blood sugar results in a diabetic coma?

Variable: Each patient is different but this typically occurs at blood sugars greater than 500 mg/dl. ...Read more