DM: complications IV

Hi, after or health topics we talked about I our previous 14 short medical article, we reach an amazing medical article the 15th in which we will talk in brief about all information on health related to diabetes milletus acute complications or simply diabetic comas.
Researchers divided diabetic comas into four categorize according to latest health news hypoglycemic coma, diabetic ketoacidosis, non-ketotic hyperosmolar coma and lactic acidosis.

I will start this sort medical article with lactic acidosis.
insulin pen
1. Lactic acidosis: it is a severe type of acidosis with 50% mortality rate.it occurs as a result of accumulation of lactic acid in blood more than 5 mmol/L.
Patients present with a severe metabolic acidosis without significant hyperglycemia or ketosis.
This occurs in patients on biguanides therapy especially with high doses and if any renal or hepatic impairment are present.
2. Hyperosmolar coma or known as non ketotic hyperosmolar coma, it is a characteristic of type II DM. as glucose increase to more than 600 mg/dl. And insulin level is minimal which is not enough to decrease this high hyperglycemia but enough to decrease ketogenesis in liver which leads to hyperglycemia without significant ketosis.
When hyper osmolality reaches 320 mOsmol/L, patients becomes hydrated, stupor and then comatose.
You should know that hyperosmolar state may predispose to stroke and MI.
And you should know this piece of medical advice that glucose rich fluid and steroids precipitate this complication.
Now let us talk about hypoglycemic coma according to latest health news.
3. Hypoglycemic coma:  it is usually results from big dose of insulin or high dose oral hypoglycemic.
You will find your patient is sweaty, pale, tachycardic with normal pulse volume and dilated pupil.
And as a medical advice, you must be sure to give him any sweat under his tongue.
4. Diabetic ketoacidosis (DKA): it is the hall mark of type I DM, its main causes are:
·        Undiagnosed diabetes.
·        Stress of inter current infection.
·        Interruption of insulin therapy.
DKA is characterized by gradual onset, weak and rapid pulse, dry skin, acetone odor of breath, acidotic respiration, non-irritable and subnormal temperature.
Finally we finished DM complication, wow, what a long journey with our short medical articles filled with latest information about health and fitness.
I will talk in next articles about different health topic so be tuned, cause it will amaze you. See you soon.
Good bye, J


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