Causes of high blood sugar coma
Posted on October 23, 2009
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As early as 1886, the medical literature there are reports of high blood sugar caused by diabetes patients in coma were reported. But not until 1957, a South African doctor Simon special thematic reports on this phenomenon by the medical profession after the general concern, and this case named “Hyperosmolar nonketotic diabetic coma,” in keeping with diabetic ketoacidosis acidosis induced coma to distinguish. In recent years, research results show that hyperosmolar nonketotic diabetic coma is a special type of diabetes kinds of serious complications.
Clinically, hyperosmolar nonketotic diabetic coma in patients with mortality rates as high as 20% or so. Disease is more common in middle aged and elderly diabetic patients, male and female patients may be suffering from the disease. Some patients with the disease before the onset of illness did not know that they have diabetes. Patients with diabetes in case of hyperosmolar nonketotic diabetic coma usually occurs before the thirst, polyuria, weakness, unresponsive, indifferent expression and other symptoms. At this point, such a patient if the treatment is not reasonable, there will be continuous dry mouth and polyuria, or even dehydration symptoms, such as orbital collapse, the skin loses its elasticity, rapid heart beat, disturbance of consciousness, blood pressure drop, etc., and can be gradually into a coma.
In general, diabetes patients to the hospital the following conditions should be immediately carried out of the laboratory examination in order to prevent hyperosmolar nonketotic diabetic coma ① gradual emergence of awareness of the obstacles and the progress of dry mouth, polyuria, dry skin and other symptoms When, ② occurred when the epileptic convulsions, ③ When people with diabetes got pneumonia, influenza, cerebral vascular accident, trauma occurs when a number of diseases such as urine, dehydration symptoms, ④ intake of sugar or carbohydrates in large numbers after a number of urine changes in symptoms and consciousness; ⑤ experienced serious vomiting, diarrhea and other symptoms.
Hyperosmolar nonketotic diabetic coma prognosis good or bad, the key lies in its ability to be reasonable and timely diagnosis and treatment. For the middle-aged diabetic patients, it is necessary to keep attention to their mental state, it is necessary to do on a regular basis for blood glucose testing, not let them consume a lot of carbohydrates (including rice, flour), or sweets. Once the emergence of unconscious patients with diabetes should be promptly sent to hospital for treatment, such patients should not arbitrarily to feed syrup or intravenous hypertonic glucose, so as to prevent disease progression.
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