a diabetic coma happens when the patients have severe

a diabetic coma happens when the patients have severe

What causes coma in diabetic ketoacidosis?

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.

How long can a diabetic coma last?

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.

Can a person recover from a diabetic coma?

An untreated diabetic coma may also result in death. People who receive emergency treatment for a diabetic coma usually recover fully. Your doctor may recommend that you wear a medical identification bracelet that explains the nature of your diabetes and other health concerns.

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.

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.

Is diabetic ketoacidosis a painful death?

Symptoms include sunken eyes, rapid breathing, headache, muscle aches, severe dehydration, weak peripheral pulses, nausea, stomach pain and cramping, vomiting, semi or unconsciousness, cerebral edema, coma and death. DKA is a horrendously painful way to die.

What does end stage diabetes look like?

Look for these signs of high blood sugar: Excessive thirst and increased urination. Unusual infections. Unexpected feelings of tiredness.

What happens in diabetic shock?

When a person experiences diabetic shock, or severe hypoglycemia, they may lose consciousness, have trouble speaking, and experience double vision. Early treatment is essential because blood sugar levels that stay low for too long can lead to seizures or diabetic coma.

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.

How long can you live with diabetic ketoacidosis?

Mortality after intensive care unit admission was 8% at 30 days, 18% at one year, and 35% at five years. A total of 349 patients survived their first intensive care unit diabetic ketoacidosis admission [mean (SD) age 42.5 (18.1) years; 50.4% women; 46.1% required ≥1 organ support].

What is the difference between insulin shock and diabetic coma?

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 happens when your blood sugar drops to 30?

If your blood sugar drops below 70 milligrams per deciliter (mg/dL), you may have symptoms, such as feeling tired, weak, or shaky. If your blood sugar drops very low (usually below 20 mg/dL) and you do not get help, you could become confused or drowsy or even lose consciousness and possibly die.

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 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.

What is the most common cause of death in DKA?

Cerebral edema is the major cause for mortality in DKA[15,16].

How does ketoacidosis lead to death?

Diabetic ketoacidosis is a severe, life-threatening complication, mostly affecting Type 1 diabetics. DKA can develop when your blood sugar is high and the insulin level is low. The imbalance in the body causes a build-up of ketones, which are toxic. If not treated, it can lead to a diabetic coma and death.

What organs does diabetic ketoacidosis affect?

Fluid loss from DKA can lead to kidney and organ damage, brain swelling that can eventually cause a coma, and fluid buildup in your lungs.

What is severe diabetes?

Brittle diabetes is also known as unstable diabetes or labile diabetes, meaning that blood sugar swings can be severe and frequent. This version is rare and happens mainly to people with Type 1 diabetes. Talk to your healthcare provider about management methods, possibly including special equipment.

What happens during 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 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.