Patients with Diabetes Are Treated Differently in the ER
A trip to the ER is different for patients with diabetes compared to those without. Diabetes can lead to more serious complications doctors would be concerned about, as well as influence diagnostics and potential treatments. Emergency room physician Dr. Troy Madsen explains why it’s important your physicians know your diabetic status early with emergency treatment.
Interviewer: How does a patient with diabetes change the way emergency room physicians would treat you? That's next on The Scope.
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Interviewer: Dr. Madsen, if somebody comes into the emergency room and you find out they have diabetes, does that change the way that you would treat whatever condition that they're in the ER for?
Dr. Madsen: It really does. It affects the way I look at things and it often affects the way I treat things. And the reason for that is, certainly with diabetes, there are the immediate issues where maybe they have a high blood sugar or really low blood sugar. Either they use too much insulin or maybe they haven't been using their insulin, and certainly there's that factor. But diabetes changes a lot of other things as well.
So if someone comes in and they say to me, "I'm having chest pain," I mean, this is a 30-year-old otherwise healthy person, I'm like, "Okay, we'll get an EK to do some tests," I'm not too concerned. If this person has diabetes even, maybe in their 30s, that heightens my concern a little bit more for heart dise Continue reading