Diabetic coma natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Left untreated, a diabetic coma can be fatal. Prognosis of diabetic coma depends on whether the patient is treated promptly and properly.
Complications
Complications related to nonketotic hyperosmolar coma
- Acute circulatory collapse (shock)
- Blood clot formation
- Brain swelling (cerebral edema)
- Increased blood acid levels (lactic acidosis)
People with diabetic ketoacidosis need close and frequent monitoring for complications. Surprisingly, the most common complications of DKA are related to the treatment:
- Hypokalemia and often, potassium depletion
- Cerebral edema [1]
- Hyperglycemia
- Ketoacidemia
- Fluid and electrolyte depletion [2]
- Aspiration
- Unrecognized renal tubular necrosis
- Pulmonary edema [3]
Prognosis
Patients who develop this syndrome are often already ill. The death rate with this condition is as high as 40%.
References
- ↑ "Diabetic ketoacidosis". Diabetic ketoacidosis. Mayo Foundation for Medical Education and Research. 2006. Retrieved 2007-06-15. Text " By Mayo Clinic Staff " ignored (help)
- ↑ "Diabetic Coma > Diabetic ketoacidosis". Diabetic ketoacidosis. Armenian Medical Network. 2006. Retrieved 2007-06-15. Text " Umesh Masharani, MB, BS, MRCP " ignored (help)
- ↑ "Diabetic ketoacidosis complications". Diabetic ketoacidosis. The Diabetes Monitor. 2007. Retrieved 2007-06-15.