Symposium: Treatment of Diabetic Coma: Diabetic Ketoacidosis

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The "third coma" in diabetes: diabetic coma without ketoacidosis.

THE COMPLEXITIES of the diabetic syndrome are underlined by the fact that diabetic coma may occur without obvious ketoacidosis. The position has recently been summarised in a leading article in the British Medical Journal (1965). To the first two comas met with in diabetes, namely diabetic coma with ketosis and hypoglycaemic coma due to excess insulin, must then be added a third type of coma. T...

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Analysis of Diabetic Ketoacidosis and Hyperosmolar Nonketotic Coma Cases

DK, DKA and HONC cases admitted to Hacettepe University Hospital in a fifteen year period (19801995) were analysed. Diagnosis of DKA was based on the fulfillment of each of the following criteria: Plasma glucose on admission >250 mg/dl, plasma HCO3 <15mEq/L, pH <7.3, ketonemia and an elevated anion gap. Patients with a plasma glucose level >250 mg/dl, blood pH in the normal range and with posit...

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Diabetic ketoacidosis: evaluation and treatment.

Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in persons older than 70 years, 23 percent...

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Alpha coma in an adolescent with diabetic ketoacidosis.

Ostojic S, Vukovic R, Milenkovic T, Mitrovic K, Djuric M, Nikolic L. Alpha coma in an adolescent with diabetic ketoacidosis. Turk J Pediatr 2017; 59: 318-321. This is the first report of alpha coma (AC) caused by brain edema in a patient with diabetic ketoacidosis (DKA). A previously healthy 15-year-old girl was admitted to the intensive care unit due to altered state of consciousness during th...

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SYMPOSIUM ON PICU PROTOCOLS OF AIIMS Management of Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA), a life-threatening complication of diabetes mellitus (DM), occurs more commonly in children with type 1 DM than type 2 DM. Hyperglycemia, metabolic acidosis, ketonemia, dehydration and various electrolyte abnormalities result from a relative or absolute deficiency of insulin with or without an excess of counter-regulatory hormones. Management requires careful replac...

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ژورنال

عنوان ژورنال: Journal of the Royal Society of Medicine

سال: 1980

ISSN: 0141-0768,1758-1095

DOI: 10.1177/014107688007300210