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Year : 2017  |  Volume : 15  |  Issue : 3  |  Page : 208-210

Hyperglycemic diabetic emergencies: Practice guidelines

Department of Accident and Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Kundavaram Paul Prabhakar Abhilash
Department of Accident and Emergency Medicine, Christian Medical College, Vellore - 632 004, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cmi.cmi_52_17

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Diabetic ketoacidosis(DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with Type1 diabetes, but it is not uncommon in some patients with Type2 diabetes. Fluid resuscitation, insulin administration, potassium administration, and correction of the underlying precipitating cause constitute the four pillars of treatment. Hyperglycemic hyperosmolar state(HHS) is classically seen in elderly patients with Type2 diabetes. Although less common than diabetic ketoacidosis, HHS is associated with a higher mortality rate.

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