Full Text
Full text is available in PDF
International Journal of Endocrinology and Metabolism
Research Institute for Endocrine Sciences
e-ISSN 1726-9148
p-ISSN 1726-913X
Hyperglycemic Crises in Diabetic Patients
Authors
1Endocrine and Metabolism Research Center, Namazi Hospital, Shiraz University of Medical Sciences, [email protected], IR.lran
2Endocrine and Metabolism Research Center, Namazi Hospital, Shiraz University of Medical Sciences, IR.lran
*Corresponding Author: Endocrine and Metabolism Research Center, Namazi Hospital, Shiraz University of Medical Sciences, [email protected], IR.lran. Email: [email protected]
Published online:Jan 31, 2005
Article type:Review Article
Received:Jan 01, 2004
Accepted:Feb 01, 2005
How to Cite:Omrani G, Shams M, Atkhamizadeh M, Kitabc A. Hyperglycemic Crises in Diabetic Patients. Int J Endocrinol Metab. 2005;3(1):. doi:
Abstract
Diabetic ketoacidosis (DKA) and hy perosmolar hyperglycemic state (HHS) are two important causes of mortality and morbidity in patients with diabetes. Mortality rates are <5% in DKA and about 15% in HHS, much of which are avoidable with appropriate management. The prognosis is worsened with aging, hypotension, coma and concomitant life-threatening illnesses. The criteria for DKA and HHS are somewhat arbitrary, although glucose level is higher and ketone body level is minimal in HHS, they are two extremes in a spectrum of diabetic metabolic decompensation. In general, DKA occurs in type 1 and most often HHS occurs in type 2 diabetes; however, each type of diabetes may be associated with DKA or HHS. Both conditions are associated with marked dehydration, electrolyte disturbances and insulin deficiency and increased counter-regulatory hormones, so treatment consists of water and electrolyte replacement and insulin administration. Recognition and treatment of precipitating factors and frequent monitoring of patients are considered the most crucial aspects of the management.
Copyright
© 2005, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Similar Articles
7
Mar
2021
Clinical and Biochemical Characteristics and Treatment Outcomes of Ketosis-Prone Diabetes: The Remission Prone Diabetes
Swaraj Shrikant Waddankeri,
Meenakshi Swaraj Waddankeri,
Basavraj Gurushantappa Mangshetty
Waddankeri SS, Swaraj Waddankeri M, Gurushantappa Mangshetty B. Clinical and Biochemical Characteristics and Treatment Outcomes of Ketosis-Prone Diabetes: The Remission Prone Diabetes. Int J Endocrinol Metab. 2021;19(2):e106799. doi: https://doi.org/10.5812/ijem.106799
15
Aug
2005
Factious Hypoglycemia
MohammadReza Tamadon,
Farhad Malek,
AliReza Soleymani
Tamadon M, Malek F, Soleymani A. Factious Hypoglycemia. koomesh. 2005;6(4):e152075. doi:
29
Nov
2015
Severe Symptomatic Hypophosphatemia With Thrombocytopenia in a Child With Diabetic Ketoacidosis
Vinod Prabhu Ganapathy,
Vijay Anand Palaniswamy,
Pratibha Vinod,
Lakshmi Narayanan,
Tanushree Sahoo,
Rashmi Ranjan Das
Ganapathy VP, Palaniswamy VA, Vinod P, Narayanan L, Sahoo T, et al. Severe Symptomatic Hypophosphatemia With Thrombocytopenia in a Child With Diabetic Ketoacidosis. J Compr Ped. 2015;6(4):e28020. doi: https://doi.org/10.17795/compreped-28020
13
Jun
2021
Evaluation of Microalbuminuria and Glycosylated Hemoglobin in the Assessment of Diabetes Control in Children with Type 1 Diabetes Mellitus Hospitalized with Diabetic Ketoacidosis
Saiprasad Onkareshwar Kavthekar,
Vijay Tukaram Mali,
Sachin Verma,
Anil Bapurao Kurane,
Nivedita Balasaheb Patil,
Suhas Panditrao Kulkarni
Kavthekar SO, Mali VT, Verma S, Kurane AB, Patil NB, et al. Evaluation of Microalbuminuria and Glycosylated Hemoglobin in the Assessment of Diabetes Control in Children with Type 1 Diabetes Mellitus Hospitalized with Diabetic Ketoacidosis. J Compr Ped. 2021;12(2):e109904. doi: https://doi.org/10.5812/compreped.109904
12
Jun
2017
Diabetic Ketoacidosis: Demographic Data, Clinical Profile and Outcome in a Tertiary Care Hospital
Zahra Razavi,
Farimehr Hamidi
Razavi Z, Hamidi F. Diabetic Ketoacidosis: Demographic Data, Clinical Profile and Outcome in a Tertiary Care Hospital. Inn J Pediatr. 2017;27(3):e7649. doi: https://doi.org/10.5812/ijp.7649
Cited by
- Scopus by DOI: 0
Last Update: 1 month ago
- Scopus by Title: 0
Last Update: 1 month ago
- Scopus by Title (Ref): 2
Last Update: 1 month ago
- CrossRef: 0
Last Update: 2 days ago
Comments
Number of Comments:0