Doctor insights on:
Can Hyperosmolarity Cause Brain Cells To Shrink
Yes: Mannitol is osmotic agent utilized to raised the serum osmolality and actually takes fluid from healthy neurons to make room for damaged neurons to swell. Another agent utilized in certain institutions is 3% nacl solution which again raises the serum osmolality for the same reason. Osmolarity is mol/kg and osmolality is mol/kg which is what is used in medicine. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Coma due to diabetes: By your question i will assume he is in the hospital. This condition is due to poor control of diabetes either due to not taking medications or as a result of some inciting condition like infection amongst others, a better controll of diabetes will help prevent this. In summary it's a coma caused by caused by high glucose. ...Read more
Many: The most obvious sign of a hyperosmolar hyperglycemic state is an alteration in mental status or functioning. People may become lethargic or drowsy, confused, or even delirious. In severe cases a person may become unresponsive. Occasionally they can have seizures, visual problems, and movement or sensory problems. This is a dangerous condition that need immediate medical attention. ...Read moreSee 1 more doctor answer
Here are some...: Hyperosmolar diuresis is specifically related with poorly controlled hyperglycemia leading to severe dehydration, electrolyte imbalance, etc. resulting in manifesting the following symptoms: high fever, weakness, drowsiness, altered mental state, headache, restlessness, inability to speak, visual problems, hallucinations, & paralysis. So, make sure of having good control of blood glucose. ...Read more
Diabetic emergency: Hyperosmolar coma is a medical emergency seen in type ii diabetics when the blood sugar reaches extremely high levels, typically higher than 600 mg/dl. Often it is precipitated by a physiologic stress such as infection, myocardial infarction, stroke or other acute illness. The very high blood glucose may lead to disordered mental functioning with possible seizures then to coma and death. ...Read moreSee 2 more doctor answers
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