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Diabete coma
Oct 30, 2015 • 52 likes • 16,188 views
The Diabetic coma is one the most dangerous
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Diabete coma
2. Definition Types of diabetic coma Causes of diabetic
coma Signs and symptoms Management
3. This a aggravated diabetic-resulting pathological condition
leading to loss of conscious. It is mainly due to impaired control
of blood sugar levels. It may progress to di!erent organs like
eyes, kidney, blood vessels and nerve tissues diabetic coma is
linked with severe and inadequately treated diabetic mellitus
4. Three types are linked to diabetic coma: diabetic
ketoacidosis coma Hyperosomolar coma Hypoglycaemic
coma
5. This is also normally known as insulin dependent diabetic
mellitus-IDDM It yield in the accumulation of ketone build- ups
due to insulin deficiency which then raise the acidity of the blood
It is linked to both types of diabetics i.e. type I & type II
6. 1. Absolute lack of insulin- linked to type 1 diabetic 2. Relative
Lack of Insulin i. Acute illness • Infection or other inflammatory
process • Myocardial infarction • Stroke • Trauma
7. ii. Endocrinopathies: Anti-Insulin Hormone Excess iii. Drugs
Steroids Calcium channel blockers Pentamidine Beta-
blocking agents Dilantin Alcohol
8. SIGNS Polyuria Polydipsia Weakness Lethargy
Myalgia Headache Anorexia Nausea Vomiting
Abdominal pain Breathlessness SYMPTOMS Hyperpnoea
Hypothermia Acetone breath Acidotic breathing Dyspnea
Acute abdomen Dehydration Hyporeflexia Hypotonia
Coma
9. This is due to the dehydration and the exaggerated increase
in blood glucose level The increase in blood glucose level may
be due to: forgotten diabetic medications or insulin Sugary
food and fluids intake Some diseases like flu and pneumonia
10. This coma is due to low blood glucose level usually less
than 3.5 mmol/l It occurs in the diabetic patients who are on
insulin and certain other diabetics medication like
sulphonylureas: Takes extra dose Exercise strenuously
without taking extra food Misses a meal (starvation) Drinks too
much alcohol
11. Dull headache Fatigue Inordinate thirst Epigastric
pain Nausea Vomiting Parched lips •Flushed face, and
sunken eyes. •The temperature usually rises and then falls. •The
systolic blood pressure drops, and circulatory collapse may
occur.
12. Sweats Weakness Heart palpitation Intense hunger
Confusion, drowsiness, altered behavior especially when the
blood glucose drops down.
13. Medical history Physical examination – the person may
be wearing an emergency bracelet identifying their medical
condition Blood tests – including tests for glucose and ketone
levels
14. DKA is treated by Intravenous fluid Insulin and
potassium administration Hyperosmolar diabetics can be
corrected by Intravenous fluids Insulin, potassium and
sodium infused as soon as possible. Hypoglycemic diabetic:
glucagon to reverse the action of insulin or glucose
administration is urgent
15. The preventive measures are to o"en : ¥ Take care of your
meal ¥ Check your ketones when your blood sugar is high ¥ Keep
an eye on your blood sugar level ¥ Take your medication as
directed with your physician ¥ Drink alcohol with caution ¥
Physical exercises
16. http://medical-
dictionary.thefreedictionary.com/diabetic+coma
www.betterhealth.vic.gov.au, Copyright © 1999/2015 State
ofVictoria. Fishbein HA, Palumbo PJ: Acute metabolic
complications in diabetics. In diabetics in America. National
diabetics Data Group, National Institutes of Health, 1995;p.283-
291 (NIH publ. No.95-1468). Kitabchi AE et al. Management of
hyperglycemic crises in patients with diabetics. diabetics Care
2001;24: 241- 269.
Editor's Notes
1. LOW FASTING GLUCOSE
LEVEL=HYPOGLYCEMIA55mg/dl for
men45mg/dl in women and,40mg/dl in
children
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