Hyperosmolar hyperglycemic state primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
* | *Effective measures for the primary prevention of hyperosmolar hyperglycemic state include:<ref name="pmid18551826">{{cite journal |vauthors=Vanelli M, Scarabello C, Fainardi V |title=Available tools for primary ketoacidosis prevention at diabetes diagnosis in children and adolescents. "The Parma campaign" |journal=Acta Biomed |volume=79 |issue=1 |pages=73–8 |year=2008 |pmid=18551826 |doi= |url=}}</ref><ref name="urlManagement of Diabetic Ketoacidosis - American Family Physician">{{cite web |url=http://www.aafp.org/afp/1999/0801/p455.html |title=Management of Diabetic Ketoacidosis - American Family Physician |format= |work= |accessdate=}}</ref><ref name="pmid4085289">{{cite journal |vauthors=Zhou HC |title=[Preliminary studies of cardiac function in pre-eclamptic patients with echocardiography and systolic time intervals] |language=Chinese |journal=Zhonghua Fu Chan Ke Za Zhi |volume=20 |issue=5 |pages=266–9, 317 |year=1985 |pmid=4085289 |doi= |url=}}</ref><ref name="urlwww.aace.com">{{cite web |url=https://www.aace.com/files/position-statements/SGLT-2-position-statement.pdf |title=www.aace.com |format= |work= |accessdate=}}</ref> | ||
* '''Recognition of early signs:''' | |||
** [[Vomiting]] | |||
* | ** [[Hyperglycemia]] | ||
**[ | ** [[Dehydration]] | ||
**[ | ** [[Weakness]] | ||
**[ | |||
**[ | |||
* '''Early recognition of inciting event:''' | |||
** Missed [[insulin]] dose or error in dosing | |||
** Intercurrent illness, especially [[infection]] | |||
** [[Psychologic stress]] | |||
** [[Surgery]] or [[trauma]] | |||
* '''Early intervention:''' | |||
** Enhanced and more frequent monitoring of [[blood glucose]] | |||
** Increased [[fluid]] intake | |||
** Seek advice from health care team | |||
* '''Aggressive intervention in patients with recurrent episodes:''' | |||
** [[Psychiatric]] evaluation | |||
** Individual and family evaluation/intervention | |||
** Continuous [[subcutaneous]] [[insulin]] [[infusion]] helpful in some patients | |||
** Possible out-of-home placement | |||
** Never discontinue [[insulin]] during illness without contacting health care provider | |||
** Having medication available to treat an infection | |||
==References== | ==References== |
Revision as of 17:11, 25 September 2017
Hyperosmolar hyperglycemic state Microchapters |
Differentiating Hyperosmolar hyperglycemic state from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There are no established measures for the primary prevention of [disease name].
OR
There are no available vaccines against [disease name].
OR
Effective measures for the primary prevention of [disease name] include [measure1], [measure2], and [measure3].
OR
[Vaccine name] vaccine is recommended for [patient population] to prevent [disease name]. Other primary prevention strategies include [strategy 1], [strategy 2], and [strategy 3].
Primary Prevention
- Effective measures for the primary prevention of hyperosmolar hyperglycemic state include:[1][2][3][4]
- Recognition of early signs:
- Early recognition of inciting event:
- Missed insulin dose or error in dosing
- Intercurrent illness, especially infection
- Psychologic stress
- Surgery or trauma
- Early intervention:
- Enhanced and more frequent monitoring of blood glucose
- Increased fluid intake
- Seek advice from health care team
- Aggressive intervention in patients with recurrent episodes:
- Psychiatric evaluation
- Individual and family evaluation/intervention
- Continuous subcutaneous insulin infusion helpful in some patients
- Possible out-of-home placement
- Never discontinue insulin during illness without contacting health care provider
- Having medication available to treat an infection
References
- ↑ Vanelli M, Scarabello C, Fainardi V (2008). "Available tools for primary ketoacidosis prevention at diabetes diagnosis in children and adolescents. "The Parma campaign"". Acta Biomed. 79 (1): 73–8. PMID 18551826.
- ↑ "Management of Diabetic Ketoacidosis - American Family Physician".
- ↑ Zhou HC (1985). "[Preliminary studies of cardiac function in pre-eclamptic patients with echocardiography and systolic time intervals]". Zhonghua Fu Chan Ke Za Zhi (in Chinese). 20 (5): 266–9, 317. PMID 4085289.
- ↑ "www.aace.com" (PDF).