a diabetic coma is usually due to ___________
What is a diabetic coma like?
In a diabetic coma, you are unconscious and unable to respond to your environment. You are either suffering from high blood glucose (hyperglycemia) or low blood glucose (hypoglycemia). You need immediate medical attention if you go into a diabetic coma.
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What happens before you go into a diabetic coma?
The severe symptoms of uncontrolled blood sugar that can come before a diabetic coma include vomiting, difficulty breathing, confusion, weakness, and dizziness.
What sugar level is diabetic coma?
A diabetic coma could happen when your blood sugar gets too high — 600 milligrams per deciliter (mg/dL) or more — causing you to become very dehydrated. It usually affects people with type 2 diabetes that isn’t well-controlled. It’s common among those who are elderly, chronically ill, and disabled.
How long is a diabetic coma?
If it progresses and worsens without treatment it can eventually cause unconsciousness, from a combination of a very high blood sugar level, dehydration and shock, and exhaustion. Coma only occurs at an advanced stage, usually after 36 hours or more of worsening vomiting and hyperventilation.
How does diabetic ketoacidosis cause coma?
Diabetic ketoacidosis coma This type of coma is triggered by the build-up of chemicals called ketones. Ketones are strongly acidic and cause the blood to become too acidic. When there is not enough insulin circulating, the body cannot use glucose for energy.
Is diabetic coma treatable?
Diabetic coma requires emergency medical treatment. The type of treatment depends on whether your blood sugar level is too high or too low.
Can a diabetic coma cause brain damage?
A diabetic coma results from either very high or very low blood glucose levels. This is a life-threatening complication which causes the patient to fall into a state of unconsciousness. The coma is reversible if treated immediately, but if left untreated they may receive permanent brain damage or potentially die.
How is hypoglycemia coma treated?
Treatment of the comatose patient consists of glucose gel smeared inside the mouth, intramuscular glucagon (1 mg) or intravenous glucose. It is important to avoid giving excess intravenous glucose, particularly in young children in whom the osmotic effects of resultant hyperglycemia can result in cerebral damage.
What is hypoglycemia coma?
Hypoglycemic coma was defined as a state in which the patient was not arousable (or responded only to pain), with a blood glucose concentration of 2.72 mmol/L (49 mg/dL) or less, and responded symptomatically (a return of consciousness) to the administration of intravenous glucose.
What is hyperosmolar coma?
Hyperosmolar coma is also referred to as hyperosmolar hyperglycemic syndrome (HHS) or nonketotic hyperglycemic syndrome. It is characterized by severe hyperglycemia, hyperosmolality, and dehydration in the absence of significant ketoacidosis. Hyperosmolar coma and diabetic ketoacidosis (DKA) are hyperglycemic crises.
How low does your sugar have to be to go into a coma?
Anytime your blood sugar drops below 50 mg/dL, you should act whether you have symptoms or not. If your blood sugar level drops very low (usually below 20 mg/dL), you may lose consciousness or have a seizure.
What is a diabetic seizure?
A diabetic seizure occurs when the sugar levels in the blood are extremely low (below 30 mg/dL). The brain needs glucose to function properly. When there is a drop in blood sugar, the actions of the neurons in the brain decrease and the person experiences a seizure.
What causes insulin shock?
What causes insulin shock? Having too much insulin in your blood can lead to having too little glucose. If your blood sugar falls too low, your body no longer has enough fuel to carry out its regular functions. In insulin shock, your body becomes so starved for fuel that it begins to shut down.
What is uncontrolled diabetes?
Uncontrolled Diabetes is blood sugar levels are above recommended target ranges including an A1C level above 7.0%. Your physician will usually recommend you seeing an educator to assess potential lifestyle changes for your diet and activity.
What is the most common diabetic emergency?
You could fall into a coma. DKA is the most common complication of type 1 diabetes , but it’s also possible with type 2 diabetes and gestational diabetes, the kind you get while pregnant. The person may have: Not injected enough insulin, or needs more than usual.
What happens to a diabetic without insulin?
Without insulin, your body will break down its own fat and muscle, resulting in weight loss. This can lead to a serious short-term condition called diabetic ketoacidosis. This is when the bloodstream becomes acidic, you develop dangerous levels of ketones in your blood stream and become severely dehydrated.
What is the difference between diabetic coma and insulin shock?
Insulin shock means you have very low blood sugar levels. Diabetic coma is when you pass out due to either high or low blood sugar. These two diabetic emergencies can happen if you don’t keep your glucose and insulin levels under control.
What Ketonuria means?
Ketonuria is a sign that your body is primarily using fats and protein for fuel. This is called ketosis. It’s a normal process if you’re fasting or on a low-carbohydrate, ketogenic diet. A ketogenic diet does not typically pose a health risk if it’s done in a balanced way.
Which insulin is used for diabetic ketoacidosis?
Insulin glulisine (Apidra)
What happens when you go into a coma?
What is a coma? Someone who is in a coma is unconscious and has minimal brain activity. They’re alive but can’t be woken up and show no signs of awareness. The person’s eyes will be closed and they’ll appear to be unresponsive to their environment.
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