Diabetologische Notfälle: Hypoglykämie, ketoazidotisches und hyperglykämisches Koma

Translated title of the contribution: Diabetic emergencies: Hypoglycemia, ketoacidotic and hyperglycemic hyperosmolar nonketotic coma

H. Kalscheuer*, G. Serfling, S. Schmid, H. Lehnert

*Corresponding author for this work

Abstract

The diabetic emergencies diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS) and hypoglycemia represent severe and potentially life-threatening complications of diabetes mellitus that require prompt diagnostics and treatment. Absolute or relative insulin insufficiency is characteristic of DKA und HHS along with severe dehydration. They differ by the prevalence of ketone bodies and the severity of acidosis; however, the treatment regimens are similar. In contrast, hypoglycemia is the limiting factor for achieving ambitious glucose targets. This article decribes the clinical presentation, diagnostics and emergency management of these metabolic derangements.

Translated title of the contributionDiabetic emergencies: Hypoglycemia, ketoacidotic and hyperglycemic hyperosmolar nonketotic coma
Original languageGerman
JournalInternist
Volume58
Issue number10
Pages (from-to)1020-1028
Number of pages9
ISSN0020-9554
DOIs
Publication statusPublished - 01.10.2017

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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