What factors are likely to cause diabetic hyperosmolar coma?
Posted on October 25, 2009
Filed Under Coma | Leave a Comment
(1) all the factors that cause elevated blood sugar can induce the disease. Such as:
① a variety of infections and stress factors such as surgery, cerebrovascular accidents, especially those infected with diabetic hyperosmolar coma accounted for a variety of incentives to the top.
② caused by hyperglycemia in a variety of drugs such as glucocorticoids, a variety of diuretics, phenytoin, propranolol, particularly diuretics, such as Hydrochlorothiazide, furosemide, etc. not only increase the water loss, but also inhibit insulin release and to reduce the role of insulin sensitivity.
③ too much sugar or sodium intake, such as losing a large number of intravenous glucose, nasal feeding and even a large number of high nutritional drink orange juice can trigger this disease.
④ affect glucose metabolism in endocrine diseases such as hyperthyroidism, Acromegaly psychosis.
(2) all caused by water loss, dehydration factor. Such as:
① a variety of diuretics.
② insufficient water intake, such as hunger, restrictions on diet or vomiting, diarrhea, especially the elderly because of its central sense of thirst is not sensitive to the amount of water into the water shortages caused by poor more.
③ neurological or neurosurgical treatment of patients with dehydration.
④ dialysis, including hemodialysis or peritoneal dialysis patients.
⑤ burn patients.
(3) uremia patients with renal insufficiency. Including acute and chronic renal failure, diabetes and kidney, as glomerular filtration rate fall in blood glucose clearance rate has dropped, along with significantly higher blood glucose dehydration Er Shi.
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