Type 2 Diabetes – Diabetic Coma

For so many with Type two diabetes, the thought of going into a diabetic coma is a worst case scenario. There is no question. Such a coma is indeed a very serious situation. This often occurs as a result of one of three different causes: severe diabetic hypoglycemia, diabetic ketoacidosis in combination with other symptoms or hyperosmolar nonketonic coma. Each type involves different causes. The medical term diabetic coma is a general term used when someone comes up unconscious with diabetes. Modern medical staff knows what to look for to figure out what is causing the problem. It is critical for you to recognize early medical symptoms in yourself to avoid losing consciousness. Let’s look at each type and then what may happen with each.

The first one is severe diabetic hypoglycemia. That long medical term means that your glucose levels have plummeted too low. It often occurs if a patient takes too much insulin or something else causes the blood glucose to drop unexpectedly. People with Type 2 Diabetes will likely deal with some periods of hypoglycemia off and on. It is actually very uncommon for levels to fall so low as to induce a coma. If coma occurs, the paramedics or hospital will give the patient intravenous glucose or glucagon to stimulate glucose release. This will elevate glucose levels in the blood stream.

The next type to consider is a coma caused by diabetic ketoacidosis. Ketoacidosis begins when the body runs out of insulin. To get energy, the body begins converting fat deposits into energy. This action results in the build-up of ketones in the bloodstream. The ketone buildup can cause many severe symptoms besides loss of consciousness. Vomiting, dehydration, confusion, and shallow irregular breathing are common. People with type 2 diabetes get this form of diabetic coma less often than the first one. Treatment involves rehydration and giving insulin to stop the generation of more ketones.

The last type of diabetic coma is one referred to as hyperosmolar nonketonic coma. This type of coma develops as a combination of both severe hyperglycemia and dehydration. Hyperglycemia is the term for elevated levels of glucose in the blood stream. When high levels of sugar combine with severe loss of fluids, the patient may fall into a coma very quickly. It is a medically accepted fact that this form of coma is indeed the most deadly in the Type 2 Diabetes group. It only begins to be seen as lethargy. Without overt symptoms, many people fall into a coma without warning. Treatment includes gradual rehydration and insulin introduction.

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This post was written by admin on December 10, 2010

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