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Diabete coma


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The Diabetic coma is one the most dangerous and again emergent case experienced during dental care delivery. Actually it mistreated and aggravated-diabetic cases resulting coma, that is categorized into Hypoglycemic coma, Diabetic ketoacidosis and Hyperosmolar coma.

Published in: Health & Medicine
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Diabete coma

  1. 1. Definition Types of diabetic coma Causes of diabetic coma Signs and symptoms Management
  2. 2.  This a aggravated diabetic-resulting pathological condition leading to loss of conscious.  It is mainly due to impaired control of blood sugar levels.  It may progress to different organs like eyes, kidney, blood vessels and nerve tissues  diabetic coma is linked with severe and inadequately treated diabetic mellitus
  3. 3. Three types are linked to diabetic coma:  diabetic ketoacidosis coma  Hyperosomolar coma  Hypoglycaemic coma
  4. 4.  This is also normally known as insulin dependent diabetic mellitus-IDDM  It yield in the accumulation of ketone build- ups due to insulin deficiency which then raise the acidity of the blood  It is linked to both types of diabetics i.e. type I & type II
  5. 5. 1. Absolute lack of insulin- linked to type 1 diabetic 2. Relative Lack of Insulin i. Acute illness • Infection or other inflammatory process • Myocardial infarction • Stroke • Trauma
  6. 6. ii. Endocrinopathies: Anti-Insulin Hormone Excess iii. Drugs  Steroids  Calcium channel blockers  Pentamidine  Beta-blocking agents  Dilantin  Alcohol
  7. 7. SIGNS  Polyuria  Polydipsia  Weakness  Lethargy  Myalgia  Headache  Anorexia  Nausea  Vomiting  Abdominal pain  Breathlessness SYMPTOMS  Hyperpnoea  Hypothermia  Acetone breath  Acidotic breathing  Dyspnea  Acute abdomen  Dehydration  Hyporeflexia  Hypotonia  Coma
  8. 8. This is due to the dehydration and the exaggerated increase in blood glucose level The increase in blood glucose level may be due to:  forgotten diabetic medications or insulin Sugary food and fluids intake Some diseases like flu and pneumonia
  9. 9.  This coma is due to low blood glucose level usually less than 3.5 mmol/l  It occurs in the diabetic patients who are on insulin and certain other diabetics medication like sulphonylureas:  Takes extra dose Exercise strenuously without taking extra food Misses a meal (starvation) Drinks too much alcohol
  10. 10.  Dull headache  Fatigue  Inordinate thirst  Epigastric pain  Nausea  Vomiting  Parched lips •Flushed face, and sunken eyes. •The temperature usually rises and then falls. •The systolic blood pressure drops, and circulatory collapse may occur.
  11. 11.  Sweats  Weakness  Heart palpitation  Intense hunger  Confusion, drowsiness, altered behavior especially when the blood glucose drops down.
  12. 12.  Medical history  Physical examination – the person may be wearing an emergency bracelet identifying their medical condition  Blood tests – including tests for glucose and ketone levels
  13. 13.  DKA is treated by  Intravenous fluid  Insulin and potassium administration  Hyperosmolar diabetics can be corrected by  Intravenous fluids  Insulin, potassium and sodium infused as soon as possible.  Hypoglycemic diabetic: glucagon to reverse the action of insulin or glucose administration is urgent
  14. 14.  The preventive measures are to often : ¥ Take care of your meal ¥ Check your ketones when your blood sugar is high ¥ Keep an eye on your blood sugar level ¥ Take your medication as directed with your physician ¥ Drink alcohol with caution ¥ Physical exercises
  15. 15.  http://medical- , Copyright © 1999/2015 State ofVictoria.  Fishbein HA, Palumbo PJ: Acute metabolic complications in diabetics. In diabetics in America. National diabetics Data Group, National Institutes of Health, 1995;p.283-291 (NIH publ. No.95-1468).  Kitabchi AE et al. Management of hyperglycemic crises in patients with diabetics. diabetics Care 2001;24: 241- 269.