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What Blood Sugar Level Can Cause Coma?

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 >>

Signs And Symptoms Of Diabetes In Infants

Signs And Symptoms Of Diabetes In Infants

Diabetes can affect individuals of any age, including infants and children. Knowing that your baby has diabetes can be really frightening. But by learning how to perform glucose testing and give insulin, you can help your child to grow up healthy. The first thing you need to do, though, is to keep your own stress level down. Your baby can sense if you feel anxious, so it is up to you to be as brave as your little one. Types Medical experts say that Type 1 diabetes is the form of the disease most often diagnosed in infants. More commonly known as juvenile onset diabetes, this autoimmune disorder prevents the body from producing enough insulin, a hormone needed so that cells can break down glucose for energy. Type 2, or non-insulin dependent diabetes, can also affect infants. Insulin resistance is the primary cause of Type 2 diabetes. As a result, both insulin and blood sugar levels in the body continue to rise. Certain medical conditions or genetic disorders, such as Down syndrome and Turner syndrome, can cause this type of diabetes as well. Symptoms The American Academy of Pediatrics tells parents to contact their child’s pediatrician immediately if she shows any of the following symptoms. Crankiness, sweating, trembling, paleness and bluish tinge to the lips or fingers are symptoms that an infant might be hypoglycemic. A glucose test should be performed, as treatment may be needed if the infant’s blood sugar is too low. A baby’s brain development requires a continuous supply of glucose. Therefore, parents must carefully manage their child’s diabetes. Likewise, when an infant’s glucose levels climb too high, hyperglycemia means that your infant may not be getting enough insulin in combination with how much you are feeding her. While infants often display no sy 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 >>

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 >>

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 >>

Diabetic Coma Symptoms, What You Need To Know

Diabetic Coma Symptoms, What You Need To Know

Diabetic coma symptoms are something we should all be aware of. It is true that type 1 diabetics are more likely to experience them than type 2, but as diabetics are living longer, the chance of experiencing symptoms is greater. One statistic is that up to 15% of diabetics will go into diabetic coma because of severe hypoglycemia. Coma is another word for unconscious. A diabetic is in a coma if he cannot be wakened and can't respond to sounds and sights. It does not mean the person in a coma will die. These days, with swift blood test results and treatment, a diabetic will come out of a coma very fast. Diabetic medical alert bracelets and necklaces keep us from being misdiagnosed as drunk or epileptic when we cannot speak. But just knowing you are a diabetic is not enough. If you are taken to an emergency room, the doctors look for diabetic alert charms. But diabetic coma symptoms still need to be diagnosed correctly so the proper treatment is started, because there are three different types of coma, and the complications of all three are brain damage and death. Oddly, either chronic high blood sugar or sudden low blood sugar can trigger diabetic coma symptoms. That's why it's good to know how we react to both of them. With high blood sugar, or hyperglycemia, you feel thirsty and have to urinate more often. You feel fatigue, and there is always nausea and vomiting, often for days. You can feel short of breath and have stomach pain. There is a fruity or acetone smell to your breath and a fast heartbeat. The symptoms are not sudden. But low blood sugar comes on very swiftly and can wake you out of a sound sleep. You feel shaky, nervous, tired and either hungry or nauseated. You sweat a lot and your heart races. You can get irritated and even aggressive for no reason, and Continue reading >>

Diabetic Coma Symptoms

Diabetic Coma Symptoms

A diabetic coma is one of the most life-threatening complications of diabetes. The main symptom is unconsciousness. A diabetic coma can be the result of having a blood glucose level that is too high (hyperglycemia) or a blood glucose level that is too low (hypoglycemia). The diabetic in a diabetic coma is unconscious and can die if the condition is not treated. Symptoms of Diabetic Coma Before you lapse into a diabetic coma, there are usually warning signs of blood sugar levels that are too low or blood sugar levels that are too high. For example, if the blood sugar is too high, the you may experience tiredness, abdominal pain, shortness of breath, increased urination, increased thirst, a rapid heart rate, a dry mouth, and a fruity smell to your breath. If the blood sugar is too low, you may experience signs and symptoms of hypoglycemia, including weakness, tiredness, anxiety, tremulousness, nervousness, nausea, confusion, problems communicating, light-headedness, hunger, or dizziness. If you have had diabetes for many years, you may not have many symptoms of low blood sugar and won’t know you have the condition prior to falling into a coma. If you suspect that you have either high blood sugar or low blood sugar, you need to check your blood glucose levels and do what your doctor has recommended for you to treat the disease. If you don’t feel better after trying home remedies, you need to call 911 and get some kind of emergency care. Causes of Diabetic Coma The main cause of a diabetic coma is an extremely high blood sugar or an extremely low blood sugar. The following medical conditions can cause a diabetic coma: Diabetic hyperosmolar syndrome. This is a condition in which the blood sugar is as high as 600 mg/d: or 33.3 mmol per liter. There are no ketones in the u 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 >>

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 >>

What Happens When You Go Into A Diabetic Coma?

What Happens When You Go Into A Diabetic Coma?

Diabetes comes along with a lot of complications and another such life-threatening condition that can affect both type 1 and type 2 diabetes patients is a diabetic coma. It is a situation, where the person although alive, cannot respond to any sights, sounds, or any other types of physical simulations. In this article, we shall know more about diabetes coma and what happens when a person slips into one. So, join in for the article “What Happens When You Go into a Diabetic Coma?” What is Diabetic Coma? Diabetic coma is a life-threatening condition caused due to either very high or very low glucose levels in a diabetes patient. It affects patients with both type 1 and type 2 diabetes. The major risk factors for this type of condition increases when you are on an insulin pump, have fallen sick and the blood sugar has risen dramatically, you have had a heart failure or a kidney-related disease, you have the habit of drinking too much of alcohol, or even when you have failed to manage your diabetes effectively. In the following paragraphs, we shall study the symptoms and causes of this fatal condition in detail. Symptoms of Diabetic Coma Let us now look into the signs and symptoms which help us understand that a person is slipping into diabetes coma. As mentioned above, it can occur either in cases of hyperglycemia or very high levels of blood glucose or in the case of hypoglycemia or low levels of blood glucose. So, let us look into the symptoms of each: Signs of hyperglycemia or high blood sugar The patient experiences high level of thirst and urination Stomach pain is another sign The body gives out a fruity odor Extreme fatigue Dry mouth Vomiting Difficult to breathe easily Heartbeat becomes really fast Signs of hypoglycemia or low blood sugar Difficulty in speaking 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 >>

Diabetic Coma Causes High, Low Blood Sugar Level Symptoms For Emergency Treatment

Diabetic Coma Causes High, Low Blood Sugar Level Symptoms For Emergency Treatment

If you have diabetes, a too high or low blood sugar level for too long can cause you to lapse into a diabetic coma, or a state of unconsciousness. And when left untreated, it may cause permanent brain damage and potentially death. Coma in a diabetic has a couple different inducements. For type 1 diabetics, coma is most often caused by the buildup of ketones in the bloodstream, or ketoacidosis. Ketoacidosis occurs when insulin isn’t available for glucose metabolism, so fats are metabolized as a source of energy instead. This results in ketone accumulation and metabolic acidosis. Diabetic ketoacidosis is typically a type 1 diabetes health concern, but it can affect those with other types of diabetes. Another diabetic related health condition that can lead to a coma is diabetic hyperosmolar syndrome. It is caused by a high blood sugar level that causes your blood to thicken. In an effort to relieve syrupy blood condition, your body urinates the extra sugar coupled with a large amount of fluid. As a result, it can cause dehydration and a loss of consciousness. This high blood sugar dehydrating condition usually is seen in older folks with type 2 diabetes. Low blood sugar levels can also cause a diabetic coma via the lack of availability of glucose to your brain to sustain its need to function. Hence in severe cases, low blood sugar can cause you to pass out. Low blood sugar caused diabetic coma generally occurs because you: skipped meals took too much insulin exercised too vigorously Everyone suffering diabetes is at risk of a diabetic coma, especially those who don’t monitor their blood sugar levels regularly or aren’t even aware they even have it. However, failure to take insulin, excessive food consumption or stresses that increase you body’s need for insulin, li Continue reading >>

Diabetes And Seizures: What Are They? What Are The Symptoms?

Diabetes And Seizures: What Are They? What Are The Symptoms?

Having a seizure is a very serious thing. It is dangerous for the person experiencing it, and it is also scary for those nearby. Seizures can be caused for several reasons. Some people have epilepsy, which is a disorder where seizures happen often. For those without epilepsy, they are often called “provoked seizures” because they were provoked, or brought on, by something reversible. Individuals with diabetes can experience these “provoked seizures” when their blood sugar drops too low. The following article explains the difference in these, how to prevent them, and how to care for someone that is having a diabetic seizure. The difference between epilepsy and seizures Epilepsy is a seizure disorder that happens because there is an electrical storm in the brain. People have recurrent seizures that involve loss of consciousness, convulsions, abnormal behavior, disruption of senses, or all of the above. Some have an “aura” before having a seizure and know when it is going to happen. Most causes of epilepsy are unknown, however they can be triggered by flickering light, loud noises, or physical stimulation. Treatment for this condition includes medications and sometimes diet changes. A “provoked seizure” happens because something abnormal is happening in the body. This can include low sodium, fever, alcohol, drugs, trauma, or low blood sugar. The same thing happens as with epilepsy, and there is unusual activity in the brain causing abnormal movements and behaviors. Unlike epilepsy though, where a seizure can happen for no reason, there is an actual cause for each one that occurs for “provoked seizure”. It is important to understand the cause of these so that preventative measures can be taken. There is no relationship between epilepsy and diabetes. One Continue reading >>

Diabetic Coma Symptoms, Risks & Causes

Diabetic Coma Symptoms, Risks & Causes

What is diabetic coma? Diabetic coma, a medical emergency, is the condition in which a person with diabetes lapses into a coma (unconsciousness) due to complications in diabetes. In most cases, low blood sugar or severe hypoglycemia causes a person with diabetes to pass out. This reversible form of coma often occurs to people with type 1 diabetes mellitus as they are most vulnerable to episodes of hypoglycemia. There are three types of diabetic coma medically identified as: Diabetic hypoglycemia –severe low blood sugar level Diabetic ketoacidosis (DKA) –hyperglycemia, dehydration, & exhaustion Hyperosmolar nonketotic coma –due to extreme hypoglycemia & dehydration Diabetic coma symptoms and causes Diabetic coma is caused by either hypoglycemia (severely low blood sugar level) or hyperglycemia (high blood sugar level). Left untreated, diabetic coma can be fatal. That's why it's important for people with diabetes and their love ones to be aware of symptoms that can lead to diabetic coma. Signs & symptoms of hypoglycemia (low blood sugar level) A diabetic experiencing a hypoglycemic episode may exhibit: twitching or convulsions, fatigue and unusual hunger, sweating, irregular or racing heartbeat, nausea, difficulty speaking, and confusion. Signs & symptoms of hyperglycemia (high blood sugar level) A diabetic experiencing a hyperglycemic episode may show signs such as increased thirst, frequent urination, fatigue, nausea & vomiting, very dry mouth, rapid heartbeat, shortness of breath, stomach pain, & fruity breath odor. Diabetic coma treatment Treatment of diabetic coma depend upon the underlying causes: Diabetic Hypoglycemia —treatment usually involves administering of intravenous glucose or injected glucagon to rapidly raise the patient's blood glucose level. Dia Continue reading >>

Diabetic Coma

Diabetic Coma

A diabetic coma is a life-threatening diabetes complication that causes unconsciousness. It can occur when blood sugar gets too high or dangerously low. Usually it is most common in individuals who are elderly, chronically ill or disabled. Left untreated, a diabetic coma can be fatal. Luckily, there are safety steps that can be taken to help prevent a diabetic coma. Symptoms Before developing a diabetic coma, an individual may experience signs and symptoms of high blood sugar or low blood sugar. High blood pressure signs and symptoms: Tiredness Dry mouth Increased thirst Frequent urination Sickness and vomiting Foul smelling breath Difficulty breathing Abdominal pain Racing heartbeat Low blood pressure signs and symptoms: Tiredness Shaking and trembling Sweatin Increased appetite Sickness Anxiety Racing heartbeat Difficulty speaking Confusion Causes Causes of a diabetic coma are due to blood sugar levels being too low or too high. This can cause various conditions in an individual, all leading to a diabetic coma. The three main causes are known as: Diabetic ketoacidosis: A dangerous complication of diabetes caused by a lack of insulin in the body. Diabetic ketoacidosis is most common in individuals who have type 1 diabetes, but it can also affect people who have type 2 diabetes or gestational diabetes. Diabetic hyperosmolar syndrome: A serious condition caused by extremely high blood sugar levels. Diabetic hyperosmolar syndrome is most common in middle-aged and older individuals who have type 2 diabetes. Hypoglycemia: A serious condition caused by extremely low blood sugar levels. Risk factors Factors associated with an increased risk of a diabetic coma include the following: Type 1 diabetes (Low blood sugar- diabetic ketoacidosis) Type 2 diabetes (High blood sugar- dia Continue reading >>

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