Diabetes patients suddenly coma how to do? Once diabetes (blood sugar) is not well controlled, it will cause complications, leading to kidney, eye, foot and other parts of the failure lesions, and can not be cured. Coma often occurs in this disease. What should we do if we are in a coma
The types of coma include non ketotic hyperosmolar coma, hypoglycemic coma and ketoacidosis coma
Nonketotic hyperosmolar coma
This coma is more common in elderly diabetic patients over 60 years old. The main clinical manifestations were severe dehydration, hyperglycemia, high plasma osmolality and neuropsychiatric symptoms.
Hypoglycemic coma
When the blood sugar is lower than 3 mmol / L, it is called hypoglycemia. Severe hypoglycemia will lead to coma. The common reasons are: too much insulin or too much oral and hypoglycemic drugs and less food intake; the amount of exercise increased, but no corresponding increase in food intake.
ketoacidosis diabetic coma
The reasons are as follows
1. The insulin of diabetic patients was stopped or decreased too fast, or the condition became worse.
2. Various acute and chronic infections.
3. Stress state, such as trauma, operation, delivery, pregnancy, acute myocardial infarction, hyperthyroidism, etc.
4. Eating disorder, eating too much or too little, drinking too much, etc.
So what is the cause of these comas? Let's take a look!
(1) Hypoglycemic coma
When the blood sugar is lower than 3 mmol / L, it is called hypoglycemia. Severe hypoglycemia will lead to coma. The common reasons are: too much insulin or too much oral hypoglycemic drugs and eating less; the amount of exercise increased, but did not increase the amount of food.
(2) Ketoacidosis coma
The reasons are as follows: 1. Diabetes patients stop using insulin or reduce insulin too fast, or the condition is aggravated; 2. Various acute and chronic infections; 3. Stress state, such as trauma, operation, delivery, pregnancy, acute myocardial infarction, hyperthyroidism, etc.; 4. Eating disorders, eating too much or too little, drinking too much, etc.
(3) Nonketotic hyperosmolar coma
This coma is more common in elderly diabetic patients over 60 years old. The main clinical manifestations were severe dehydration, hyperglycemia, high plasma osmolality and neuropsychiatric symptoms.