Diabetic coma natural history, complications and prognosis: Difference between revisions
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==Overview== | |||
Left untreated, a diabetic coma can be fatal. Prognosis of diabetic coma depends on whether the patient is treated promptly and properly. | |||
==Complications== | |||
Complications related to nonketotic hyperosmolar coma | |||
* Acute circulatory collapse ([[shock]]) | |||
* Blood clot formation | |||
* Brain swelling ([[cerebral edema]]) | |||
* Increased blood acid levels ([[lactic acidosis]]) | |||
People with diabetic ketoacidosis need close and frequent monitoring for complications. Surprisingly, the most common complications of DKA are related to the treatment: | |||
* [[Hypokalemia]] and often, [[potassium depletion]] | |||
* [[Cerebral edema]] <ref name=mayo>{{cite web | By Mayo Clinic Staff | title = Diabetic ketoacidosis | publisher=Mayo Foundation for Medical Education and Research | work = Diabetic ketoacidosis | url=http://www.mayoclinic.com/health/diabetic-ketoacidosis/DS00674/DSECTION=7 | year = 2006 | accessdate=2007-06-15}}</ref> | |||
* [[Hyperglycemia]] | |||
* [[Ketoacidemia]] | |||
* Fluid and electrolyte depletion <ref name=AMN>{{cite web | Umesh Masharani, MB, BS, MRCP | title = Diabetic Coma > Diabetic ketoacidosis | publisher=Armenian Medical Network | work = Diabetic ketoacidosis | url=http://www.health.am/db/diabetic-ketoacidosis/ | year = 2006 | accessdate=2007-06-15}}</ref> | |||
* [[Aspiration]] | |||
* Unrecognized [[renal tubular necrosis]] | |||
* [[Pulmonary edema]] <ref name=monitor>{{cite web | title = Diabetic ketoacidosis complications| publisher=The Diabetes Monitor | work = Diabetic ketoacidosis | url=http://www.diabetesmonitor.com/dmemerh/sld033.htm | year = 2007 | accessdate=2007-06-15}}</ref> | |||
==Prognosis== | |||
Patients who develop this syndrome are often already ill. The death rate with this condition is as high as 40%. | |||
==References== | ==References== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Medicine]] | |||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category:Diabetes]] | |||
[[Category:Aging-associated diseases]] | |||
[[Category:Medical conditions related to obesity]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] | |||
[[Category:Needs overview]] | |||
Latest revision as of 21:20, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Left untreated, a diabetic coma can be fatal. Prognosis of diabetic coma depends on whether the patient is treated promptly and properly.
Complications
Complications related to nonketotic hyperosmolar coma
- Acute circulatory collapse (shock)
- Blood clot formation
- Brain swelling (cerebral edema)
- Increased blood acid levels (lactic acidosis)
People with diabetic ketoacidosis need close and frequent monitoring for complications. Surprisingly, the most common complications of DKA are related to the treatment:
- Hypokalemia and often, potassium depletion
- Cerebral edema [1]
- Hyperglycemia
- Ketoacidemia
- Fluid and electrolyte depletion [2]
- Aspiration
- Unrecognized renal tubular necrosis
- Pulmonary edema [3]
Prognosis
Patients who develop this syndrome are often already ill. The death rate with this condition is as high as 40%.
References
- ↑ "Diabetic ketoacidosis". Diabetic ketoacidosis. Mayo Foundation for Medical Education and Research. 2006. Retrieved 2007-06-15. Text " By Mayo Clinic Staff " ignored (help)
- ↑ "Diabetic Coma > Diabetic ketoacidosis". Diabetic ketoacidosis. Armenian Medical Network. 2006. Retrieved 2007-06-15. Text " Umesh Masharani, MB, BS, MRCP " ignored (help)
- ↑ "Diabetic ketoacidosis complications". Diabetic ketoacidosis. The Diabetes Monitor. 2007. Retrieved 2007-06-15.