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The immune response is impaired in individuals with diabetes mellitus. Cellular studies have shown that hyperglycemia both reduces the function of immune cells and increases inflammation. Respiratory infections such as pneumonia, influenza and COVID-19, [43] are more common and severe among individuals with poorly controlled diabetes.
Hyperosmolar syndrome or diabetic hyperosmolar syndrome is a medical emergency caused by a very high blood glucose level. The prefix "hyper-" means high, and "osmolarity" is a measure of the concentration of active particles in a solution, so the name of the syndrome simply refers to the high concentration of glucose in the blood.
Hyperosmolar nonketotic coma (usually type 2) in which an extremely high blood sugar level and dehydration alone are sufficient to cause unconsciousness. In most medical contexts, the term diabetic coma refers to the diagnostical dilemma posed when a physician is confronted with an unconscious patient about whom nothing is known except that ...
Potassium replacement is often required as the metabolic problems are corrected. [3] Efforts to prevent diabetic foot ulcers are also important. [3] It typically takes a few days for the person to return to baseline. [3] While the exact frequency of the condition is unknown, it is relatively common. [2] [4] Older people are most commonly ...
[3] [2] Hypovolemic shock is a medical emergency; if left untreated, the insufficient blood flow can cause damage to organs, leading to multiple organ failure. [ 4 ] In treating hypovolemic shock, it is important to determine the cause of the underlying hypovolemia, which may be the result of bleeding or other fluid losses .
[1] [16] The smell is due to the presence of acetone. [18] If Kussmaul respiration is present, this is reflected in an increased respiratory rate. [16] Small children with DKA are relatively prone to brain swelling, also called cerebral edema, which may cause headache, coma, loss of the pupillary light reflex, and can progress to death. [19]
Raising the serum sodium concentration too rapidly may cause central pontine myelinolysis (also known as osmotic demyelination). [18] Sodium correction should be no greater than 10 mEq/L/day, with a correction no greater than 8 mEq/L/day in those at high risk of osmotic demyelination. [2]
If the levels of an electrolyte are too low, a common response to electrolyte imbalance may be to prescribe supplementation. However, if the electrolyte involved is sodium, the issue is often water excess rather than sodium deficiency. Supplementation for these people may correct the electrolyte imbalance but at the expense of volume overload.
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