Diabetic coma: trouble from “Precept Breaking”
Posted on October 22, 2009
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In rivers and lakes. Difficult to defend “rules and prohibitions”
Into middle age, Mr. Chuang may be regarded as successful people, operates a trading company with good benefits. After many years of hard work, infighting among the business field, Gongchoujiaocuo, his body is growing in tandem with the development of hair-fu. Two years ago, a medical examination surprised to discover that hyperglycemia was really let him tense for a while, but also make a determined effort, “smoking, drinking, quit never too sweet,” good treatment. But, after all, there is no obvious physical discomfort, not to mention “The Sopranos, involuntarily,” busy with work pressure, a variety of entertainment is inevitable. “Commandments” broken several times, over time, the original tension and determination also gradually faded. Eat, drink gradually liberalized, medicine is very random, I remember eat, do not remember pulled down, blood sugar is too lazy to go test.
That evening, hosted an important customer. The customer hobbies cup thing is out of the name, of course, enjoying to the. Mr. Chong had舍命陪君子, “grind” 45 hours down, have been drinking I do not know how much Mr. Chuang feel more and more uncomfortable, the toilet on the time and time again, but also vomiting is urinating trance state of mind began to indistinct indistinct , Suddenly he fell on the ground. We thought he was drunk, and hurried him to the hospital.
Survived. Disease from hyperosmolar coma
Emergency physician immediately asked about the history quickly and concisely, and carried out a careful physical examination, found that Mr. Chuang has been in a coma, low blood pressure, skin mucous membranes dry, there is severe dehydration performance. Doctor immediately arranged a variety of inspection. Test results out soon: the blood sugar up to 45 mmol / l (normal range 3.9-6.1 mmol / l), serum sodium 150 mmol / l (normal range 135-145 mmol / l), blood osmotic pressure 370 milli-penetration Moore, l (normal value of 275 ~ 305 milli-penetration mole / l), urine ketone (++++), negative. Doctors made an initial diagnosis: non-ketotic hyperosmolar diabetic coma.
After a day of night rescue, Mr. Chuang was finally revived.
A few days later, recovering from illness, Mr. Chuang, fearful, he said to the doctor, this time finally tasted the bitterness of diabetes, “severe.” He asked the doctor: “Doctor, I am usually feeling pretty good about himself, how a sudden illness to be so serious?”
The doctor told him: “Lao-Zhuang Yeah, you remember how much that night, drinking wine? To mention you are a diabetic. You usually do not regulate the treatment, blood glucose control can imagine no better. Plus this eating and drinking, How can they not dangerous? ”
The coma, came close to being misled by drunkenness
“The coma is how come?” Asked Mr Chong.
“Unfortunately, the pathogenesis of this disease is very complex, medical scientists have until now had not completely clear. Pathogenesis of the early days, the patient is often more a result of water loss in urine, with the progression of the disease, more and more serious water loss, to the late , urine output decreased, shock, blood concentration, increased serum sodium, followed by dehydration of brain cells, showed a very prominent neuropsychiatric symptoms, such as unresponsive, drowsiness, hallucinations, tremors, epileptic seizures, even coma. “Zhuang Mr. Listen, eyes open bigger and bigger.
Doctor paused, then said: “The slow onset of the disease in general, not like you in this rapid-onset, often cover a variety of induced symptoms of the disease, it is often misdiagnosed or missed diagnosis. If the delay in treatment of this disease, heart decline, renal failure, cerebral edema and other complications a lot of very high mortality rate, so special emphasis on early detection and early treatment. like you this, if only be treated as drunk, the consequences would be unthinkable of. Fortunately, we consider that you have diabetes patients, time to do the inspection, diagnosis, correct treatment to be effective. ”
Eat a cutting wisdom. Stabilize the blood sugar is the key.
Mr. Chuang seems to have realized and asked: “That’s usually how I prevent it?” “To say is also simple, is to seriously control of diabetes. In particular, some specific symptoms in the body, the vigilance can prevent this disease place.’s right, it is to remember, every time to see the doctor, they must put their own history of diabetes, tell your doctor.
“Laozi and Zhuangzi, talked so much, after all, to change the concept of the most important. First of all to recognize the dangers diabetes, once again, we should establish the confidence and determination to overcome diabetes. Diet, exercise, monitoring blood sugar, insist on rational drug use. You want to think, win business, lost his health, and greed of the moment’s convenience and pleasure, costing him a lifetime of health, worth it? ”
“This disaster die, met with ‘ghost’ of course, fear of ‘black’ about her.” Lamented Mr. Chuang
Said, “From now on, I want to be a ‘behave’ in people.”
Hyperosmolar coma, seizures be tracked
Middle-aged patients with diabetes, if the following conditions, it should be alert on the disease from occurring, immediately to the hospital related to Inspection: ① disturbance of consciousness and apparent increased sexual performance, such as dehydration, dry mouth, dry eyes no tears; ② there central nervous system symptoms and signs such as epileptic seizures in; 3 of infection, myocardial infarction, surgery, and so has happened with more than stress urine; 4 in a large number of intake of sugar or application of certain medications caused by elevated blood sugar, there polyuria and consciousness change.
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