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What Blood Sugar Level Can Cause Coma?

Diabetes - Low Blood Sugar - Self-care

Diabetes - Low Blood Sugar - Self-care

Low blood sugar is called hypoglycemia. A blood sugar level below 70 mg/dL (3.9 mmol/L) is low and can harm you. A blood sugar level below 54 mg/dL (3.0 mmol/L) is cause for immediate action. You are at risk for low blood sugar if you have diabetes and are taking any of the following diabetes medicines: Insulin Glyburide (Micronase), glipizide (Glucotrol), glimepiride (Amaryl), repaglinide (Prandin), or nateglinide (Starlix) Chlorpropamide (Diabinese), tolazamide (Tolinase), acetohexamide (Dymelor), or tolbutamide (Orinase) Know how to tell when your blood sugar is getting low. Symptoms include: Weakness or feeling tired Shaking Sweating Headache Hunger Feeling uneasy, nervous, or anxious Feeling cranky Trouble thinking clearly Double or blurry vision Fast or pounding heartbeat Sometimes your blood sugar may be too low even if you do not have symptoms. If it gets too low, you may: Faint Have a seizure Go into a coma Talk with your health care provider about when you should check your blood sugar every day. People who have low blood sugar need to check their blood sugar more often. The most common causes of low blood sugar are: Taking your insulin or diabetes medicine at the wrong time Taking too much insulin or diabetes medicine Not eating enough during meals or snacks after you have taken insulin or diabetes medicine Skipping meals Waiting too long after taking your medicine to eat your meals Exercising a lot or at a time that is unusual for you Not checking your blood sugar or not adjusting your insulin dose before exercising Drinking alcohol Preventing low blood sugar is better than having to treat it. Always have a source of fast-acting sugar with you. When you exercise, check your blood sugar levels. Make sure you have snacks with you. Talk to your provider about r Continue reading >>

All You Need To Know About Diabetic Coma Blood Sugar Level

All You Need To Know About Diabetic Coma Blood Sugar Level

Before truly understanding a diabetic coma, one must first understand that diabetes is not just one condition. It’s a collection of metabolic conditions related to the way in which the body handles glucose and produces and uses insulin. Therefore, while all diabetics are at some risk for a diabetic coma, the risk factors, likelihood, symptoms and what is considered a diabetic coma blood sugar level can all vary depending on type, person and disease management. What does not vary, however, is what a diabetic coma entails. It refers to a state of unconsciousness that is precisely related to the mismanagement of diabetes that causes an inability to wake regardless of external stimuli. The complication is incredibly serious and requires immediate medical intervention in order to prevent death. Those with type 1 diabetes are at the greatest risk for going into a coma as a result of diabetes. For these individuals, physiological processes in the body prevent them from using insulin properly. Most cases of type 1 diabetes are diagnosed during adolescence and therefore proper maintenance techniques are often established very early on, helping to reduce the risk of a diabetic coma blood sugar level in the first place. However, in these individuals (but, on occasion type 2 sufferers as well); a condition called DKA can form. DKA refers to the body’s use of fat as opposed to glucose for energy, and is caused by a decrease in insulin that allows the bloodstream to build up with ketones. The body tries to remove the ketones from the body, which can lead to severe dehydration. This can cause a diabetic coma blood sugar level, which refers to any over 240 mg/dL in addition to the presence of ketones in the urine. If the high sugar levels are left without treatment for a period of Continue reading >>

Diabetic Coma

Diabetic Coma

Diabetic coma is a reversible form of coma found in people with diabetes mellitus. It is a medical emergency.[1] Three different types of diabetic coma are identified: Severe low blood sugar in a diabetic person Diabetic ketoacidosis (usually type 1) advanced enough to result in unconsciousness from a combination of a severely increased blood sugar level, dehydration and shock, and exhaustion Hyperosmolar nonketotic coma (usually type 2) in which an extremely high blood sugar level and dehydration alone are sufficient to cause unconsciousness. In most medical contexts, the term diabetic coma refers to the diagnostical dilemma posed when a physician is confronted with an unconscious patient about whom nothing is known except that they have diabetes. An example might be a physician working in an emergency department who receives an unconscious patient wearing a medical identification tag saying DIABETIC. Paramedics may be called to rescue an unconscious person by friends who identify them as diabetic. Brief descriptions of the three major conditions are followed by a discussion of the diagnostic process used to distinguish among them, as well as a few other conditions which must be considered. An estimated 2 to 15 percent of diabetics will suffer from at least one episode of diabetic coma in their lifetimes as a result of severe hypoglycemia. Types[edit] Severe hypoglycemia[edit] People with type 1 diabetes mellitus who must take insulin in full replacement doses are most vulnerable to episodes of hypoglycemia. It is usually mild enough to reverse by eating or drinking carbohydrates, but blood glucose occasionally can fall fast enough and low enough to produce unconsciousness before hypoglycemia can be recognized and reversed. Hypoglycemia can be severe enough to cause un Continue reading >>

Hypoglycemia, Functional Brain Failure, And Brain Death

Hypoglycemia, Functional Brain Failure, And Brain Death

Hypoglycemia, including iatrogenic hypoglycemia in people with diabetes, causes brain fuel deprivation that initially triggers a series of physiological and behavioral defenses but if unchecked results in functional brain failure that is typically corrected after the plasma glucose concentration is raised. Rarely, profound, and at least in primates prolonged, hypoglycemia causes brain death. Given the survival value of maintaining physiological plasma glucose concentrations, it is not surprising that mechanisms that normally very effectively prevent or rapidly correct symptomatic hypoglycemia have evolved (1). As a result, hypoglycemia is a distinctly uncommon clinical event except in people who use drugs that lower the plasma glucose concentration (2). Although there are other drugs, and several relatively uncommon conditions, that cause hypoglycemia (2), in the vast majority of instances the offending drug is an insulin secretagogue or insulin used to treat diabetes mellitus (2, 3). As a result of the interplay of relative or absolute therapeutic insulin excess and compromised physiological and behavioral defenses against falling plasma glucose concentrations, hypoglycemia is the limiting factor in the glycemic management of diabetes (3). It causes recurrent morbidity in most people with type 1 diabetes mellitus (T1DM) and in many with advanced T2DM and is sometimes fatal. Furthermore, hypoglycemia, as well as prior exercise and sleep, further compromise glycemic defenses by causing hypoglycemia-associated autonomic failure and thus a vicious cycle of recurrent hypoglycemia. Finally, the barrier of hypoglycemia precludes maintenance of euglycemia over a lifetime of diabetes and thus full realization of the long-term vascular benefits of glycemic control. Go to: Functi Continue reading >>

Hyperglycemia: When Your Blood Glucose Level Goes Too High

Hyperglycemia: When Your Blood Glucose Level Goes Too High

Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes—when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin. You get glucose from the foods you eat. Carbohydrates, such as fruit, milk, potatoes, bread, and rice, are the biggest source of glucose in a typical diet. Your body breaks down carbohydrates into glucose, and then transports the glucose to the cells via the bloodstream. Body Needs Insulin However, in order to use the glucose, your body needs insulin. This is a hormone produced by the pancreas. Insulin helps transport glucose into the cells, particularly the muscle cells. People with type 1 diabetes no longer make insulin to help their bodies use glucose, so they have to take insulin, which is injected under the skin. People with type 2 diabetes may have enough insulin, but their body doesn't use it well; they're insulin resistant. Some people with type 2 diabetes may not produce enough insulin. People with diabetes may become hyperglycemic if they don't keep their blood glucose level under control (by using insulin, medications, and appropriate meal planning). For example, if someone with type 1 diabetes doesn't take enough insulin before eating, the glucose their body makes from that food can build up in their blood and lead to hyperglycemia. Your endocrinologist will tell you what your target blood glucose levels are. Your levels may be different from what is usually considered as normal because of age, pregnancy, and/or other factors. Fasting hyperglycemia is defined as when you don't eat for at least eight hours. Recommended range without diabet Continue reading >>

Hypoglycemia

Hypoglycemia

Hypoglycemia Definition The condition called hypoglycemia is literally translated as low blood sugar. Hypoglycemia occurs when blood sugar (or blood glucose) concentrations fall below a level necessary to properly support the body's need for energy and stability throughout its cells. Description Carbohydrates are the main dietary source of the glucose that is manufactured in the liver and absorbed into the bloodstream to fuel the body's cells and organs. Glucose concentration is controlled by hormones, primarily insulin and glucagon. Glucose concentration also is controlled by epinephrine (adrenalin) and norepinephrine, as well as growth hormone. If these regulators are not working properly, levels of blood sugar can become either excessive (as in hyperglycemia) or inadequate (as in hypoglycemia). If a person has a blood sugar level of 50 mg/dl or less, he or she is considered hypoglycemic, although glucose levels vary widely from one person to another. Hypoglycemia can occur in several ways. Drug-induced hypoglycemia Drug-induced hypoglycemia, a complication of diabetes, is the most commonly seen and most dangerous form of hypoglycemia. Hypoglycemia occurs most often in diabetics who must inject insulin periodically to lower their blood sugar. While other diabetics also are vulnerable to low blood sugar episodes, they have a lower risk of a serious outcome than insulin-dependant diabetics. Unless recognized and treated immediately, severe hypoglycemia in the insulin-dependent diabetic can lead to generalized convulsions followed by amnesia and unconsciousness. Death, though rare, is a possible outcome. In insulin-dependent diabetics, hypoglycemia known as an insulin reaction or insulin shock can be caused by several factors. These include overmedicating with manufactur Continue reading >>

What's It Like: To Suffer A Diabetic Coma

What's It Like: To Suffer A Diabetic Coma

What is a diabetic coma? One of the risks associated with diabetes is what's known as a diabetic coma. A person with diabetes might suffer from a diabetic coma if his or her blood sugar levels get too high, a condition known as hyperglycemia, or go too low, which is referred to as hypoglycemia. A diabetic coma can result because of complications related to either. Diabetes is a group of diseases characterized by high blood glucose levels that result from defects in the body's ability to produce and/or use insulin. Type 2 diabetes is the most common form in Oklahoma, which has consistently ranked in the top 10 nationally for the prevalence of diabetes in the state. About 305,000 adults in Oklahoma have been diagnosed with diabetes. Oklahoma has one of the highest diabetes death rates in the nation, and it's the sixth leading cause of death in Oklahoma. How is it treated? A hyperglycemic hyperosmolar coma — a result of extremely high blood sugar — is a medical emergency. This is more common in people who have type 2 diabetes than type 1 diabetes patients. When blood sugar gets too high, it draws fluid from the inside of brain cells, and you suffer from brain dysfunction. To help pull the person out of the coma, medical professionals will give that person fluids and insulin. Symptoms of hyperglycemia include decreasing levels of consciousness, frequent bathroom trips and extreme thirst. Sometimes hyperglycemia can be brought on by another condition or illness, such as urinary tract infections or pneumonia. Meanwhile, a person suffering from a coma because of low blood sugar might have a faster turnaround time. Usually, these people notice symptoms related to hypoglycemia and then ingest glucose. Early symptoms for hypoglycemia include an increased heart rate, chest pal Continue reading >>

Coma (medical)

Coma (medical)

What is the Glasgow Coma Scale? The Glasgow Coma Scale was developed to provide healthcare professionals with a simple way of measuring the depth of coma based upon observations of eye opening, speech, and movement. Patients in the deepest level of coma: do not have any speech, and do not open their eyes. Those in lighter coma may offer some response to a verbal or painful stimulus, to the point they may even seem wake, yet meet the criteria of coma because they do not respond to their environment by initiating voluntary actions. The Glasgow Coma Scale is used as part of the initial evaluation of a patient, but does not assist in making the diagnosis as to the cause of coma. Since it "scores" the level of coma, the Glasgow Coma Scale can be used as a standard method for any healthcare professional, from EMT, paramedic, nurse, or neurosurgeon, to assess change in the patient's mental status over time. The best use of the Glasgow Coma Scale is to allow healthcare professionals of different clinical skills and training to consistently assess a patient over longer periods of time in order to determine whether the patient is improving, deteriorating, or remaining the same. In the initial care of a comatose patient, chronologically, there may be first responders, emergency medical technicians (EMTs), paramedics, nurses, emergency physicians, neurologists, and neurosurgeons, all evaluating the same patient in different places at different times. The Glasgow Coma Scale allows a standard assessment that can be shared. The Glasgow Coma Scale Table Eye Opening Spontaneous 4 To loud voice 3 To pain 2 None 1 Verbal Response Oriented 5 Confused, Disoriented 4 Inappropriate words 3 Incomprehensible words 2 None 1 Motor Response Obeys commands 6 Localizes pain 5 Withdraws from pain 4 A Continue reading >>

Diabetic Coma

Diabetic Coma

The three types of diabetic coma include diabetic ketoacidosis coma, hyperosmolar coma and hypoglycaemic coma. Diabetic coma is a medical emergency and needs prompt medical treatment. Uncontrolled blood glucose levels may lead to hyperglycaemia or hypoglycaemia. Low or persistently high blood glucose levels mean your diabetes treatment needs to be adjusted. Speak to your doctor or registered diabetes healthcare professional. Prevention is always the best strategy. If it is a while since you have had diabetes education, make an appointment with your diabetes educator for a review. On this page: Diabetes mellitus is a condition characterised by high blood glucose (sugar) levels. Uncontrolled diabetes may lead to a diabetic coma or unconsciousness. The three types of coma associated with diabetes are diabetic ketoacidosis coma, hyperosmolar coma and hypoglycaemic coma. Diabetic ketoacidosis coma Diabetic ketoacidosis typically occurs in people with type 1 diabetes, which was previously known as juvenile diabetes or insulin dependent diabetes mellitus (IDDM), though it can occasionally occur in type 2 diabetes. This type of coma is triggered by the build-up of chemicals called ketones. Ketones are strongly acidic and cause the blood to become too acidic. When there is not enough insulin circulating, the body cannot use glucose for energy. Instead, fat is broken down and then converted to ketones in the liver. The ketones can build up excessively when insulin levels remain too low. Common causes of ketoacidosis include a missed dose of insulin or an acute infection in a person with type 1 diabetes. Ketoacidosis may be the first sign that a person has developed type 1 diabetes. Symptoms of ketoacidosis Symptoms of ketoacidosis are: extreme thirst lethargy frequent urination ( Continue reading >>

Diabetic Coma: Causes, What Happens When You Go Into A Diabetic Coma?

Diabetic Coma: Causes, What Happens When You Go Into A Diabetic Coma?

What is Diabetic Coma and What Happens When You go Into a Diabetic Coma? Diabetic coma is a fatal complication that leads to unconsciousness. Any diabetic person with extremely high (hyperglycemia) or low (hypoglycemia) level of blood sugar can be affected by diabetic coma. A person who has slipped into diabetic coma will not be able to respond to any physical stimulation except for being alive. Diabetic coma can cause death when left untreated or not properly treated on time. There are very less chances of hopes in case of diabetic coma. However one can control his or her health conditions to avoid occurrence of diabetic coma. One should follow their diabetes management plan strictly to avoid a turn towards diabetic coma. Diabetic coma is of three types, ketoacidosis coma, hyperosmolar coma and hypoglycemic coma. Emergency medical facility is required in case of a diabetic coma Hyperglycaemia or hypoglycaemia is caused by huge rate of fluctuation in the blood sugar level leading to diabetic coma. Whenever there is any extreme fluctuation in the glucose level of the blood, the same has to be reported to the doctor immediately. Never forget that "prevention is better than cure". Make yourself more aware on diabetes and learn the likely consequences of the disease to keep yourself alert. Frequently Asked Questions (F.A.Q's) on Diabetic Coma A person can fall in to diabetic coma while suffering from Diabetic ketoacidosis (DKA). The person will not remain conscious in this sleep-like state. This state which can be caused by hyperglycemia (high blood glucose) or hypoglycemia (low blood glucose), can remain for long time or sometimes lead to death. "Ketones" are generated in the human body when it uses body fat for energy. Ketones are also generated when there is minimum insu Continue reading >>

Diabetic Coma Symptoms

Diabetic Coma Symptoms

A diabetic coma is a serious, life-threatening complication of diabetes in which the patient falls into a state of unconsciousness. It constitutes a medical emergency if left untreated, since it may result in permanent brain damage or death, as MayoClinic.com notes. Death rates can be as high as 50 percent. A diabetic coma occurs mainly due to severe and constant fluctuations in the patient’s blood sugar level. There are also several other causes and attendant symptoms associated with diabetic coma. Video of the Day What is Diabetic Coma? Diabetic coma is a reversible form of coma that is associated with diabetes. It arises mainly as a consequence of diabetes that is left unchecked. There are three variants: ketoacidotic coma, hypoglycemic coma and hyperosmolar coma. The particular symptoms of the diabetic coma depend largely on the conditions that give rise to it, Better Health Channel explains. Treatment options for this condition will therefore vary for the same reasons. However, in every case, diabetic coma is considered a medical emergency that requires immediate attention. Symptoms of Ketoacidotic Coma Ketoacidotic coma occurs mostly in patients with Type 1 diabetes, Diabetes.co.uk reports. It is caused by the build-up of ketones – by-products of fat breakdown – that cause the blood to become excessively acidic. When insulin is lacking, the body switches to using fat instead of glucose for energy, causing the ketone build-up. Usually, this is brought about or worsened by an infection or missed insulin dosage. Symptoms include fatigue, lethargy, extreme thirst, nausea, confusion, difficulty in breathing, vomiting, stomach pain, frequent urination and fruity smell on the breath. Extremely low blood sugar levels, or hypoglycemia, can lead to unconsciousness and Continue reading >>

Cranberry Sparkler

Cranberry Sparkler

A state of profound unconsciousness from which a person cannot be aroused. It may be the result of trauma, a brain tumor, loss of blood supply to the brain (as from cerebrovascular disease), a toxic metabolic condition, or encephalitis (brain inflammation) from an infectious disease. In people with diabetes, two conditions associated with very high blood glucose may cause coma; these are diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). Severe hypoglycemia, or very low blood glucose, may also lead to coma. It’s important for all people with diabetes to learn to recognize these conditions and respond accordingly. Diabetic ketoacidosis is a serious imbalance in blood chemistry causing about 100,000 hospitalizations each year, with a mortality rate of under 5%. It typically occurs when a person has high blood sugar and insufficient insulin to handle it. Without adequate insulin, the body breaks down fat cells for energy, flooding the bloodstream with metabolic by-products called ketoacids. Meanwhile, the kidneys begin filtering large amounts of glucose from the blood and producing large amounts of urine. As the person urinates more frequently, the body becomes dehydrated and loses important minerals called electrolytes. If not treated, these serious imbalances can eventually lead to coma and death. Hyperosmolar hyperglycemic state most commonly affects elderly people. Like DKA, HHS starts with high blood glucose and insulin deficiency and causes people to urinate frequently and become dehydrated. HHS also impairs the ability of the kidneys to filter glucose from the bloodstream, making the blood glucose level rise even higher. Because of the extreme dehydration, HHS can be life-threatening, with a mortality rate of 15%, and can be even more difficul Continue reading >>

When You Need To Go To The Emergency Room With High Blood Sugars

When You Need To Go To The Emergency Room With High Blood Sugars

My uncle, like all his family, was a bit of a cheapskate. He hated to spend money unless it was absolutely necessary. He was thin and active, having only recently given up a career as a singer and dancer performing weekly on a nationally televised variety show. So when he felt unwell one weekend night, he turned down his wife's suggestion that she drive him to the emergency room and told her he'd wait til Monday when he could see his family doctor. Why waste all that money on an ER visit that was probably unnecessary? As it turned out, he didn't need to see his doctor on Monday. He died that night. He was a few years younger than I am now and the fatal heart attack he experienced was the first symptom he had of our family's odd form of inherited diabetes. But this is why, even though I've inherited the family "cheap" gene, if there's any possibility something dangerous is going on, I head for the ER. Usually it is a waste of money. I was in a small car accident a few weeks ago that left me with nerve pain running up and down my arms and legs. I sat for four hours at our local ER, saw the doctor for five minutes, and was sent home. The diagnosis, whiplash. The treatment, wait and see if it gets worse. The bill? Over $900. I went to the ER because I'd called my family doctor's office and they told me to. Whiplash usually resolves on its own, but occasionally it can cause swelling in your neck that can kill you. I'm not equipped to judge what kind I had, and unlike my uncle, I wasn't about to gamble. So with this in mind, you can understand my reaction when a stranger contacted me recently, after reading my web page, and told me that his blood sugar, which had been normal until very recently, was testing in the 500s on his meter except when his meter wasn't able to give hi Continue reading >>

What Can Happen To My Body If My Sugar Is Higher Than 600 For Many Hours?

What Can Happen To My Body If My Sugar Is Higher Than 600 For Many Hours?

Dangerously high blood sugar levels cause ketoacidosis. A blood sugar level over 600 for many hours is considered extremely dangerous and should be treated at a hospital. Hyperglycemia is the medical term for elevated blood sugar levels. According to the American Diabetes Association, blood sugars more than 240 can cause ketoacidosis – a condition where the body starts using fat for energy. Ketoacidosis can lead to coma and death. Video of the Day Ketones And High Blood Sugar When blood sugar levels are high for prolonged periods of time and the body starts using fat for energy, toxic ketones are produced. The presence of ketones can be measured in the urine. They are the acid byproduct of fat breakdown. Diabetes is the most common cause of high blood sugar levels. Hyperglycemia can also be caused by acute pancreatitis. Early symptoms include frequent urination that leads to dehydration and excessive thirst. Blood sugar more than 600 for many hours could then lead to difficulty breathing, weakness, confusion and decreased level of consciousness. Blood sugar levels become dangerously high when the body does not have enough insulin, which is produced in the pancreas. When ketones develop in the body, the liver produces more glucose to correct the problem, but without insulin, blood sugar levels continue to rise. For patients diagnosed with diabetes, ketoacidosis can develop from missed insulin doses, not enough insulin, infection, trauma or other acute illness. Prolonged high blood sugar levels can cause swelling in the brain – cerebral edema. Children are more susceptible, but adult cases have been documented, according to Elliot J. Crane, MD, Departments of Pediatrics and Anesthesiology, Stanford University Medical Center. Other complications include organ damage fr Continue reading >>

Insulin Shock Versus Diabetic Coma

Insulin Shock Versus Diabetic Coma

Oct. 10, 2015 — Proper treatment for diabetes is keeping blood sugar level within its’ normal range that is approximately 80-180 mg/dL of glucose in bloodstream. Many diabetics have to fight with elevations in blood sugar by using insulin, some diabetes medications, exercise, diet and different alternative remedies. It is unfortunate that even good treatment can be too much which can lead to a low blood sugar. Both, conditions of high and low blood sugar levels are dangerous and they may lead to coma or death. Excessive blood sugar can lead to coma Having too high sugar in blood can lead to diabetic coma. In situations when the blood sugar levels are in excess of 600 mg/dL, a diabetic person becomes confused, nauseous and thirsty, and the person may have rapid heartbeat and frequent urination. Eventually, it can lead to a coma and the death of individual. Emergency measures should be taken in order to restore the blood glucose homeostasis and to bring down blood sugar. Symptoms of the diabetic coma: Frequent urination Fatigue Vomiting and Nausea Shortness of breath Abdominal pain Rapid heartbeat Coma Dry mouth Fruity odor in breath The flipside to diabetic coma and high blood sugar is insulin shock or low blood sugar. Having blood sugar below 50 mg/dL will cause some uncomfortable symptoms which include following: Sweating Fatigue Shakiness Nausea Feeling hungry Irregular or rapid heartbeat Confusion Coma Trouble speaking As one can see from the above symptoms, identifying whether one has low blood sugar or high blood sugar can be very difficult. With onset of any of above symptoms, one needs to check the blood sugar level with glucose meter. After checking the blood sugar, treat according to the number you get. Causes of Diabetic Coma and Insulin Shock: Too little Continue reading >>

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