Overview
Definition
Life-threatening complication of Type 2 Diabetes.
Epidemiology
Varies globally. Often age and lifestyle dependent.
Etiology & Risk Factors
- Relative insulin deficiency, infection, severe dehydration.
Clinical Symptoms
- Profound dehydration
- altered mental status
- NO ketoacidosis.
Clinical Approach
Diagnosis
- Blood glucose >600
- serum osmolality >320.
Management
- Vigorous IV fluids
- IV Insulin.
Complications
- Coma
- thrombosis
- death.