Management of diabetic ketoacidosis and hyperglycemic hyperosmolar state in adults

Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) are two acute complications of diabetes associated with high mortality rate if not efficiently and effectively treated. Both entities are characterized by insulinopenia, hyperglycemia and dehydration. DKA and HHS are two serious complications of diabetes associated with significant mortality and a high healthcare costs. The overall DKA mortality in the US is less than 1%, but a rate higher than 5% is reported in the elderly and in patients with concomitant life-threatening illnesses. Mortality in patients with HHS is reported between 5% and 16%, which is about 10 times higher than the mortality in patients with DKA. Objectives of management include restoration circulatory volume and tissue perfusion, resolution of hyperglycemia, correction of electrolyte imbalance and increased ketogenesis.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Expert review of endocrinology & metabolism - 11(2016), 2 vom: 01. März, Seite 177-185

Sprache:

Englisch

Beteiligte Personen:

Anzola, Isabel [VerfasserIn]
Gomez, Patricia C [VerfasserIn]
Umpierrez, Guillermo E [VerfasserIn]

Links:

Volltext

Themen:

Diabetic ketoacidosis
Hospital
Hyperglycemia hyperosmolar state
Inpatient care
Journal Article
Ketoacidosis

Anmerkungen:

Date Revised 20.11.2019

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1586/17446651.2016.1145049

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM286987929