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Difference Between Dka And Hhs Table

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Hyperglycemic Crises: Diabetic Ketoacidosis (dka), And Hyperglycemic Hyperosmolar State (hhs)

Go to: Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are acute metabolic complications of diabetes mellitus that can occur in patients with both type 1 and 2 diabetes mellitus. Timely diagnosis, comprehensive clinical and biochemical evaluation, and effective management is key to the successful resolution of DKA and HHS. Critical components of the hyperglycemic crises management include coordinating fluid resuscitation, insulin therapy, and electrolyte replacement along with the continuous patient monitoring using available laboratory tools to predict the resolution of the hyperglycemic crisis. Understanding and prompt awareness of potential of special situations such as DKA or HHS presentation in comatose state, possibility of mixed acid-base disorders obscuring the diagnosis of DKA, and risk of brain edema during the therapy are important to reduce the risks of complications without affecting recovery from hyperglycemic crisis. Identification of factors that precipitated DKA or HHS during the index hospitalization should help prevent subsequent episode of hyperglycemic crisis. For extensive review of all related areas of Endocrinology, visit WWW.ENDOTEXT. Continue reading >>

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Popular Questions

  1. Peter_V

    Stopping Metformin, any side effects?

    Other than the obvious possibilty of increased blood glucose.
    My glucose readings have been so good lately I decided to try stopping the Metformin a couple weeks ago. I'm having to be a bit more careful of my carbs, but as long as I exercise I can keep my fasting glucose readings down (92 this morning)
    However, I have been feeling some low grade flu like symptoms (aches and pains, etc, especially when exercising)
    Just curious if these are common when discontinuing metformin or perhaps I've picked up a bug.
    Thanks.

  2. jwags

    Metoformin will stay in your system for up to a month or so. So you really can't tell the effects until after that. I don't think you should see any symptoms going off of it. You may see some increased insulin resistance or even weight gain since that is what metformin works on. The aches and pains could be from anything or just a coincidence.

  3. RayH

    Are you stopping Metformin under medical supervision?? Sometimes, when medication does what it's supposed to be doing and they are inexpensive, we think they don't do anything.
    I ran out of Metformin for a few weeks and was unable to get the Rx moved to Costco for a bunch of reasons. I got scared. I'm a guy who doesn't scare easy on my numbers. I got scared.
    In a similar vein, I have a friend who stopped taking her thyroid medication for some reason. She's been in the hospital over 3 months struggling with failing organs...

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