2008, Number 6
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Rev Fac Med UNAM 2008; 51 (6)
Principal causes for the development of crisis in patients with diabetes mellitus
Álvarez TLC, Lozano NJJ, Vargas AG, Rubio GA
Language: Spanish
References: 19
Page: 235-238
PDF size: 96.24 Kb.
ABSTRACT
The diabetic ketoacidosis and the hyperglycemic hyperosmolar syndrome state are acute and serious complications of diabetes mellitus and are related with high mortality; they represent metabolic disorders associated to partial insulin deficit in the case of hyperglucemic hyperosmolar syndrome or in the case of diabetic ketoacidosis, where the prognostic in both conditions is substantially sullen in the limits of the life and in other clinical situations as coma and hypotension. All are conditioned by diverse factors, the most common, infections, surgeries, acute myocardial infarction, dietetic and pharmacologic transgression follow by a variety of pathologies with a varied frequency as acute alcoholic ingestion which has been found responsible in 10% of cases. The objective was to determinate the most frequently reasons for the development of hyperglucemic crisis in patients with diabetes mellitus and determinate the importance of the acute alcoholic ingestion as unleash factor of hyperglucemic crisis. It was realized on the Internal medicine service of the following hospitals (Ticomán, Xoco, Balbuena) a survey about etiology and it was observed as principal reason the infections with a 43% follow by the alcoholic etiology with 22.6%.
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