Diabetes Self-Management Articles

These articles cover a wide range of subjects, from the most basic aspects of diabetes care to the nitty-gritty specifics.

Links not loading properly?

Some of our pages use Portable Document Format (PDF) files, which require Adobe Acrobat Reader. To download Acrobat Reader for free, visit www.adobe.com.

Sign up for our weekly e-mail newsletter and receive a FREE GIFT! Enter your e-mail below.

Learn more

Learn more about diabetes

Links to help you learn more about diabetes.

Ask a diabetes expert
Other diabetes resources
Browse article topics

 

Hyperglycemic Crises
What They Are and How to Avoid Them

by Robert S. Dinsmoor

Lactic acidosis. Although it is not a hyperglycemic crisis, lactic acidosis is another diabetes-related crisis worth knowing about, particularly if you take any drug containing metformin. Lactic acidosis is a potentially deadly condition caused by a buildup of lactic acid in the tissues. Such a buildup can be due to dehydration, lack of oxygen, prolonged exercise, hyperventilation, diarrhea, vomiting, kidney disease, or liver disease. If you take metformin and notice symptoms of lactic acidosis, such as lightheadedness, tiredness, weakness, muscle pain, slowed or irregular heartbeat, feeling cold, or unusual stomach pain, call your physician.

Treatment
Although your doctor may be able to talk you through the treatment of a mild case, both DKA and HHS usually call for a trip to the emergency room. If caught in time, these conditions can sometimes be reversed in 6–12 hours. If they are advanced, it may require a 2- to 3-day hospital stay. To treat either condition, doctors must carefully monitor and treat several chemical imbalances at once. Here’s a summary of how hyperglycemic crises are treated:

  • Intravenous saline solution (water and sodium) is given to reverse dehydration. This improves circulation and helps the kidneys function properly again.
  • Insulin is given to lower the blood glucose level, stop the breakdown of fats, and thus stop the production of ketones.
  • Potassium is also replaced. Potassium is lost in the urine, a problem that is compounded when insulin is administered, because it can cause a person’s cells to suddenly soak up large amounts of potassium from the bloodstream. Because a very low blood potassium level (called hypokalemia) can interfere with the ability of the heart to function properly, potassium replacement is extremely important.
  • In the case of DKA, depending on how acidic the blood is, doctors may also inject sodium bicarbonate to restore it to a normal level of acidity.

Throughout this treatment, doctors and nurses may check the person’s pulse, blood pressure, mental status, temperature, blood glucose level, acid levels, and serum potassium and phosphate levels to make sure the treatment is working properly. Sometimes electrocardiograms are performed to make sure that the heart is beating properly.

An experience worth missing
Diabetic ketoacidosis and hyperosmolar hyperglycemic state are both serious and life-threatening conditions. Even though they can be treated successfully in many cases, especially if caught early, they’re both worth skipping in the first place. The best way to prevent them is to keep close tabs on your blood glucose levels, to observe the “sick-day management” rules when you become ill, and to seek medical help if you cannot control your blood glucose level with self-care efforts.

Page    1    2    3    4    Show All    

Also in this article:
Sick-Day Management

 

 

More articles on High Blood Glucose

 

 


Statements and opinions expressed on this Web site are those of the authors and not necessarily those of the publishers or advertisers. The information provided on this Web site should not be construed as medical instruction. Consult appropriate health-care professionals before taking action based on this information.

 

 

New Weekly Type 2 Diabetes Drug Approved
On September 18, the US Food and Drug Administration (FDA) approved the once-weekly injectable... Blog

New Metformin Combo Drug Approved for Type 2 Diabetes
On August 8, the U.S. Food and Drug Administration approved the oral combination medicine... Blog

FDA Approves Inhalable Insulin
On June 27, the US Food and Drug Administration (FDA) approved Afrezza, a first-in-class... Blog

Noises keep me awake at night. What can I do? Get tip