Archive for October, 2009
Non-ketotic hyperosmolar coma
Non-ketotic hyperosmolar diabetic coma, is a severe dehydration, high blood glucose, high plasma osmotic pressure and varying degrees of neuropsychiatric symptoms as the main clinical manifestations, without obvious ketoacidosis, often accompanied by low blood pressure, cerebral vascular accidents, renal insufficiency and so on. Mortality rate as high as 40% to 70%, the importance of early [...]
How to prevent diabetic hyperosmolar coma?
For hyperosmolar coma focuses on prevention, because once happened, that a patient’s life constitutes a grave threat. Prevention should be to prevent a variety of predisposing factors (glucose or misuse of eating too much sweets, infections, angina pectoris or myocardial infarction, cerebrovascular accident, drink too little, etc.) to start, first of all to strengthen the [...]
How to deal with unconscious?
Diabetic coma, you may have two cases: one to make because of the treatment medication is not enough or the patient is also suffering from other diseases, so that blood sugar coma caused by a sharp increase, called high blood sugar coma, diabetic ketoacidosis, such as when the caused by the hyperosmolar coma, etc.; 2 [...]
Hyperosmolar coma rehydration is the key
Due to severe dehydration, hypertonic disease, characterized by the state-based, so the rapid rehydration, expansion, correct hypertonic to deal with the key.
(1) rehydration properties. At present, most advocates such as exudate began to lose the advantage of a large number of such effusion does not cause hemolysis, help to restore blood volume and [...]
Hyperosmolar coma 20% lethal
Hyperosmolar coma is often seen in elderly type 2 diabetic patients with acute complications, similar to the clinical performance and ketoacidosis, but there is no ketones in urine, few acidosis. Due to high blood sugar and blood osmotic pressure, patients are very prone to coma, once the disease, the mortality rate is also higher than [...]
Stroke-prone diabetes
Diabetes can cause damage to blood vessels, such as vascular atherosclerosis, etc., but atherosclerosis is the basis of stroke onset.
Patients with diabetes due to inadequate secretion of insulin that regulates blood sugar caused by sugar, fat and protein metabolism disorders, so that the amount of glucose into fat reduction. Fat lot of broken [...]
Cause of diabetic patients susceptible to high blood pressure
The prevalence of hypertension in patients with diabetes mellitus non-diabetic patients twice, and the prevalence of hypertension in diabetic patients the peak occurred 10 years earlier than normal, but associated with hypertension more likely to have myocardial infarction, cerebrovascular accidents and peripheral vascular disease big and accelerate retinopathy and kidney disease occurrence and development, a [...]
Investigation as soon as possible to protect the heart of diabetic
Pre-diabetes (including impaired glucose tolerance and impaired fasting glucose) ranged between normal and diabetes is a reserve army of diabetes, if the timely detection and intervention in pre-diabetes, can delay the occurrence of diabetes, and even reverse the abnormal glucose metabolism. However, pre-diabetes are mostly asymptomatic, onset hidden, so high-risk groups should be actively screening [...]
Diabetes with high blood pressure diet
Hypertension, diabetes often working hand in glove, not only heart, brain and blood vessel damage “worse” and are particularly vulnerable to damage kidneys, eyes and other organs. In addition to these patients adhere to rational drug treatment, the right diet and exercise and other lifestyle adjustments are also very important. Hypertension Division, Peking University People’s [...]
Care of diabetic patients with coronary heart disease
Diabetic patients with coronary heart disease care, it is necessary to effectively control diabetes, but also closely observe the progression of coronary artery disease; it is necessary to monitor blood glucose, but also observe the ECG changes, watch for myocardial ischemia, bearing in mind the record of hemodynamic changes, urine output and fluid volume. It [...]