Comas in diabetes- 1. Hyperglycaemic : Keto acidotic
- Non keto acidotic
- 2. Hypoglycaemic
- 3. Other metabolic comas: secondary to diabetes Uraemia
- Lactic acidosis
- 4. Other independent causes ex. SAH
- Ketoacidosis
Pathogenesis: precipitated by
- infections
- Trauma
- Drugs
- Non compliance
Clinical features:- Air hunger
- Anorexia
- Dehydration
- Vomiting
- Ketone smell
- Abdominal Pain
- Wt loss
- Low BP
- Fatigue
Non ketotic coma in diabetes
Usually occurs in elderly patients which is some times very difficult to diagnose because they shows varies clinical symptoms.in majority,Only the dehydration is present
Investigations:- Blood sugar,HCO3
- Urea
- PCV
- Na, K
- UFR
- pH, ECG
- Hb
Pathogenesis:
precipitated by
- infections
- Trauma
- Drugs
- Non compliance
Clinical features:Investigations: