Diabetic Coma_1, Can It Be Prevented? You Bet!



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Diabetic coma_1 could either be the effect of a very high or very low blood glucose level. The symptoms for either hypoglycemia and hyperglycemia are the signs that one may lose consciousness. To diagnose, the doctor will obtain a medical history, do a physical examination, and may order tests to verify the cause.

Tests that may be ordered may include the following:

  • To check low or high blood sugar levels, a glucose test may be used.
  • To check the level of ketones, ketone tests may be employed.
  • To determine the presence of abnormal acid build-up or excessive dehydration, electrolyte tests may be implemented.
  • To detect brain damage, brain scan may be used. The EEG will reveal abnormalities in the brain.

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How can we prevent the occurrence of diabetic coma_1? The best way to prevent the loss of consciousness from happening is to maintain the blood glucose level to as normal level as possible. Careful maintenance of diabetes is key to prevention. Do you know what the steps are? Here they are:

  • Develop and maintain a healthy meal plan. Work with the dietitian and the doctor to develop one that will keep the blood glucose normal. Lack of carbohydrates could lead to mild starvation ketosis and hypoglycemia which in turn could lead to coma.
  • Take the medications exactly as ordered by the doctor. Consult with the doctor if there is a need to make adjustment. Know that non-diabetic drugs like the antibiotic ones could lead to dangerously high or low blood glucose levels.
  • Monitor the glucose and ketone levels regularly. The results will warn of conditions that could lead to diabetic coma_1.
  • Some diabetics have problems about high blood glucose level at dawn. The physician may recommend change in medication, use of insulin pump or having snacks before going to bed.
  • Teach family, co-workers and friends what to do in case of diabetic coma_1. This will enable them to do what has got to be done when the person who lost consciousness cannot do it for himself. Similarly, in the case of children, their teachers, coaches and anyone they interact with should be instructed on what to do in this situation.
  • Know what to do when one is sick in order to prevent this from becoming life-threatening.
  • Make sure the diabetes is under control. This is not easy but there are options like using an insulin pump, islet cell transplant or the physician may prescribe an antidiabetic agent known as pramlintide (Symlin).
  • Always keep an emergency sugar source on hand like the ones that will fix hypoglycemia such as regular soft drinks, glucose gels, hard candies, glucose tablets, fruit juice and sugar packets. Be warned though not to over treat this by taking an amount previously determined and wait 10 to 15 minutes before giving anymore. Also know that ice cream and chocolate are not as good as the others just mentioned for the simple reason that these are not absorbed quickly.
  • Make sure you wear an ID bracelet that explains the condition and what to do as the one who loses consciousness will be unable to give instruction. Or get a diabetes assistance dog which can sense the change in the blood glucose level and will alert the owner of the situation.

The steps for prevention should work but if they fail, then what? There will be some treatment options available but I have come over the 500-word limit again so I will have to deal with the treatment options the next time around. Meantime, please familiarize yourself with the prevention aspect of diabetic coma_1.



Diabetic Coma, Diagnosis and Prevention
Diabetic coma is a medical emergency. To diagnose, the doctor may measure the ketone and blood glucose levels, the proportion of fluid and red blood cells, and the quantity of potassium, nitrogen or creatinine. Brain damage could result if not treated and could be fatal in some.

However, it can be prevented by eating healthy, keeping blood glucose within target level, taking medications as ordered, and letting others know the signs and what to do when you pass out. Also wear an ID bracelet. Remember the risk that it will happen is small but take good care of your health to avoid complications.



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