Hyperglycemic crises in adult patients with diabetes. May 17, 2018 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. Ongoing patient selfmanagement education and support are critical to preventing acute complications and reducing the risk of longterm complications. Tema 12 cetoacidosis diabetica y estado hiperglicemico.
Differential diagnosis from hyperglycemic ketoacidosis. A grading system table 1, developed by the american diabetes association ada and modeled after existing methods, was utilized to clarify and codify the. Diabetic ketoacidosis dka is the most frequent complication in children with type 1 diabetes. Sglt2 inhibitors from march 20 to june 6, 2014 see data summary. Cetoacidosis diabetica y sindrome hiperosmolar hiperglucemico. The 2009 american diabetes association ada position statement on hyperglycaemic emergencies in adult patients with diabetes details the management of diabetic. Clinical practice recommendations of american diabetes association 2014 ir a sitio ada. Home material cientifico guias ada 2019, 2018, 2017, 2016, 2015. Guidelines and position statements from medical the care of their patients. Diabetic ketoacidosis dka and the hyperosmolar hyperglycemic state hhs are the two most serious acute.
Cetoacidosis diabetica adolfo meier morales residente medicina interna 2. Cetoacidosis, hiperglicemia, hiperosmolaridad, diabetes mellitus, emergencias, crisis. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in. Dka is due to a partial or complete insulin deficit, associated with an increase of counterregulatory hormones, which leads to the biochemical alterations that define the disease. Standards of medical care in diabetesd2014 diabetes mellitus is a complex, chronic illness requiring continuous medical care with multifactorial risk reduction strategies beyond glycemic control. Timely diagnosis, comprehensive clinical and biochemical evaluation, and effective management is key to the successful resolution of dka and hhs. Guia ada 20 american diabetes association consenso ada 20 original consenso ada 20 1 3 espanol. Hyperglycemic crises in adult patients with diabetes diabetes care. Cetoacidosis diabetica en adultos y estado hiperglucemico. Orina completa con sedimento, especificando glucosa, cuerpos cetonicos, sodio y creatinina en orina.
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