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Diabetic Coma
Diabetic ComaA severe emergency in which a person is not conscious because the blood glucose (sugar) is too low or too high. If the glucose level is too low, the person has hypoglycemia; if the level is too high, the person has hyperglycemia and may develop ketoacidosis. RELATED TERMS-------------------------------------- Emergency Sudden occurrence demanding immediate remedy. Symptoms that would constitute a medical emergency include: 1.Difficulty breathing. Changes in skin color; 2.Chest pain, radiating from the breast bone or high in the abdomen to the jaw, neck, shoulder blade(s) or arms. Impending feelings of "doom"; 3.Mental status changes or loss of consciousness. Abrupt onset of a severe headache accompanied by nausea and/or vomiting, or feelings of drowsiness; 4.Fever over 105 any age. Fever over 100,4 in children less than 3 months of age; 5.Bleeding continues after 10 minutes of direct pressure. Conscious Mentally awake and aware. Knowing what one is doing and why. Blood The life-maintaining fluid which is made up of plasma, red blood cells (erythrocytes), white blood cells (leukocytes), and platelets; blood circulates through the body's heart, arteries, veins, and capillaries; it carries away waste matter and carbon dioxide, and brings nourishment, electrolytes, hormones, vitamins, antibodies, heat, and oxygen to the tissues. Glucose The only simple carbohydrate that circulates in the bloodstream. Glucose is the primary fuel used by the brain. It can also be stored in the liver and muscles in a polymer form known as glycogen. Hypoglycemia Low levels of blood sugar. Hyperglycemia Too high a level of glucose (sugar) in the blood; a sign that diabetes is out of control. Many things can cause hyperglycemia. It occurs when the body does not have enough insulin or cannot use the insulin it does have to turn glucose into energy. Signs of hyperglycemia are a great thirst, a dry mouth, and a need to urinate often. For people with Type 1 diabetes, hyperglycemia may lead to diabetic ketoacidosis. SIMILAR TERMS-------------------------------------- Diabesity Diabetes caused by overweight or obesity Diabet Hastanesi The Diabet Hastanesi is a hospital in Sisli, Istanbul, Turkey. Diabeta Diabeta is a prescription or over-the-counter drug which is (or once was) approved in the United States and possibly in other countries. Active ingredient(s): glyburide. Diabetes A condition in which blood glucose is not well controlled. Type I diabetics make no insulin, whereas type 2 diabetics are characterized by the overproduction of insulin, but the inability of the target cells to respond to the insulin. Diabetes and fiber Soluble fibers (oat bran, apples, citrus, pears, peas/beans, psyllium, etc.) slow down the digestion of carbohydrates (sugars), which results in better glucose metabolism. Some patients with the adult-onset diabetes may actually be successfully treated with a high-fiber diet alone, and those on insulin, can often reduce their insulin requirements by adhering to a high-fiber diet. Diabetes Control and Complications Trial (DCCT) A 10-year study (1983-1993) funded by the National Institute of Diabetes and Digestive and Kidney Diseases to assess the effects of intensive therapy on the long-term complications of diabetes. The study proved that intensive management of insulin-dependent diabetes prevents or slows the development of eye, kidney, and nerve damage caused by diabetes. Diabetes Insipidus A disease of the pituitary gland or kidney, not diabetes mellitus. Diabetes insipidus is often called "water diabetes" to set it apart from "sugar diabetes." The cause and treatment are not the same as for diabetes mellitus. "Water diabetes" has diabetes in its name because most people who have it show most of the same signs as someone with diabetes mellitus-they have to urinate often, get very thirsty and hungry, and feel weak. However, they do not have glucose (sugar) in their urine. See also Wolfram Syndrome and Services: Diabetes insipidus. Diabetes Mellitus A metabolic disease caused by an absolute or a relative deficiency of insulin, a hormone that controls how the body processes glucose, protein, and fats. When the body's insulin supply is decreased, it cannot process carbohydrates and it compensates by overprocessing fats and protein. The condition is characterized by chronic high blood sugar and sugar in the urine. Diabetes mellitus can result in coma. Over time, complications can include nerve injury, blindness, kidney failure, and premature atherosclerosis with all of its complications. Diabetes, gestational A form of diabetes mellitus that appears during pregnancy (gestation) in a woman who previously did not have diabetes and usually goes away after the baby is born. Diabetes, insulin-dependent Also called type 1 diabetes. Diabetes, insulin-resistant An autoimmune form of diabetes, in which the body develops an immune response to its own insulin hormone. This form of diabetes is probably the most difficult type to treat, but it can be done. Treatment includes very careful diet, medication, and in experimental cases, immunology treatment. Diabetes, non-insulin-dependent Type 2 diabetes. Diabetes, type 1 An autoimmune disease that occurs when T cells attack and decimate the beta cells in the pancreas that are needed to produce insulin, so that the pancreas makes too little insulin (or no insulin). Without the capacity to make adequate amounts of insulin, the body is not able to metabolize blood glucose (sugar), to use it efficiently for energy, and toxic acids (called ketoacids) build up in the body. There is a genetic predisposition to type 1 diabetes. Diabetes, type 2 One of the two major types of diabetes, the type in which the beta cells of the pancreas produce insulin but the body is unable to use it effectively because the cells of the body are resistant to the action of insulin. Although this type of diabetes may not carry the same risk of death from ketoacidosis, it otherwise involves many of the same risks of complications as does type 1 diabetes (in which there is a lack of insulin). Diabetic Pertaining to Diabetes. Patient suffering from this condition. Diabetic air travel A concern for patients with diabetes is flying with medications and supplies. Letters from doctors are not recommended since security has concerns that these may be easily forged. Diabetic Amyotrophy A disease of the nerves leading to the muscles. This condition affects only one side of the body and occurs most often in older men with mild diabetes. Diabetic Dermopathy A characteristic skin disorder found in up to 50% of male adults and 30% of female adults with diabetes. The lesions may be round or oval and usually are red or reddish brown, and usually measure 1-3 inches. They usually occur on the thigh or shin, but may appear also on the scalp, forearm and trunk. There is not an effective treatment and the lesions tend to disappear spontaneously after several years. Diabetic dermopathy A skin condition characteristic of diabetes involving light brown or reddish oval or round scaly patches, most often on the shins or front of the thighs and less often on the scalp, forearm and trunk. Diabetic diet A specific diet for people suffering from diabetes. Diabetic eye disease 1. A disease of the small blood vessels of the retina of the eye in people with diabetes. The vessels swell and leak liquid into the retina, blurring the vision and sometimes leading to blindness. Also called diabetic retinopathy. 2. Any eye disease to which diabetes predisposes including not only diabetic retinopathy but also cataracts (clouding of the lens) and glaucoma (increased fluid pressure inside the eye that can lead to optic nerve damage and loss of vision). Diabetic ketoacidosis High blood glucose with the presence of ketones in the urine and bloodstream, often caused by taking too little insulin or during illness. See: Ketoacidosis. Diabetic Ketoacidosis (DKA) Severe, out-of-control diabetes (high blood sugar) that needs emergency treatment. DKA is caused by a profound lack of circulating insulin. This may happen because of illness, taking too little insulin, or getting too little exercise. The body starts using stored fat for energy, and ketone bodies (acids) build up in the blood. Diabetic macular edema Swelling of the retina in diabetes mellitus due to leaking of fluid from blood vessels within the macula. The macula is the central portion of the retina, a small area rich in cones, the specialized nerve endings that detect color and upon which daytime vision depends. Diabetic musculoskeletal disorder A musculoskeletal problem associated with diabetes mellitus. Diabetic Myelopathy Spinal cord damage found in some people with diabetes. Diabetic nephropathy The kidney disease associated with long-standing diabetes. Diabetic nephropathy is also called Kimmelstiel-Wilson disease (or Kimmelstiel-Wilson syndrome) or intercapillary glomerulonephritis. Diabetic neuropathy A family of nerve disorders caused by diabetes. Diabetic neuropathies cause numbness and sometimes pain and weakness in the hands, arms, feet, and legs. Neurologic problems in diabetes may occur in every organ system, including the digestive tract, heart, and genitalia. People with diabetes can develop nerve problems at any time, but the longer a person has diabetes, the greater is the risk. Diabetic Osteopathy Loss of foot bone as viewed by x-ray; usually temporary. Also called "disappearing bone disease." Diabetic Retinopathy Severe changes in the back of the eye, or the retina, caused by diabetes. These may include ongoing microaneurysms, retinal hemorrhages or swelling in the central part of the eye (macula). The proliferative type involves the growth of abnormal blood vessels in the retina or at the optic disc with blood leaking into the jelly part of the eye (vitreous), or a detachment of the retina. Diabetic skin disease A skin disorder that is caused by diabetes or affected by diabetes. Diabetic spinal cord disease Involvement of the spinal cord in diabetes. Most of the neurologic attention in diabetes mellitus has focused on distal symmetric polyneuropathy (DSP) -- abnormalities of the peripheral nerves, in particular, the nerves to the feet and hands. However, the nerve damage in diabetes can be more generalized and involve the spinal cord. The spinal cord is significantly smaller in diabetic patients with DSP compared to normal, whereas the spinal cord in diabetic patients without DSP is normal. Whether spinal-cord involvement in diabetes is a primary or secondary event in DSP is uncertain, but it is now crystal clear that the spinal cord can be an important target in diabetes. Diabetogenic Causing diabetes; some drugs cause blood glucose (sugar) to rise, resulting in diabetes. Diabetologist A doctor who sees and treats people with diabetes mellitus. Diabinese Diabinese is a prescription or over-the-counter drug which is (or once was) approved in the United States and possibly in other countries. Active ingredient(s): chlorpropamide. PREVIOUS AND NEXT TERMS-------------------------------------- Dawn Phenomenon A sudden rise in blood glucose levels in the early morning hours. This condition sometimes occurs in people with insulin-dependent diabetes and (rarely) in people with noninsulin-dependent diabetes. Unlike the Somogyi effect, it is not a result of an insulin reaction. People who have high levels of blood glucose in the mornings before eating may need to monitor their blood glucose during the night. If blood glucose levels are rising, adjustments in evening snacks or insulin dosages may be recommended. Delta Cell A type of cell in the pancreas in areas called the islets of Langerhans. Delta cells make somatostatin, a hormone that is believed to control how the beta cells make and release insulin and how the alpha cells make and release glucagon. Diabetes Control and Complications Trial (DCCT) A 10-year study (1983-1993) funded by the National Institute of Diabetes and Digestive and Kidney Diseases to assess the effects of intensive therapy on the long-term complications of diabetes. The study proved that intensive management of insulin-dependent diabetes prevents or slows the development of eye, kidney, and nerve damage caused by diabetes. Diabetes Insipidus A disease of the pituitary gland or kidney, not diabetes mellitus. Diabetes insipidus is often called "water diabetes" to set it apart from "sugar diabetes." The cause and treatment are not the same as for diabetes mellitus. "Water diabetes" has diabetes in its name because most people who have it show most of the same signs as someone with diabetes mellitus-they have to urinate often, get very thirsty and hungry, and feel weak. However, they do not have glucose (sugar) in their urine. See also Wolfram Syndrome and Services: Diabetes insipidus. Diabetic Amyotrophy A disease of the nerves leading to the muscles. This condition affects only one side of the body and occurs most often in older men with mild diabetes. Diabetic Coma Diabetic Dermopathy A characteristic skin disorder found in up to 50% of male adults and 30% of female adults with diabetes. The lesions may be round or oval and usually are red or reddish brown, and usually measure 1-3 inches. They usually occur on the thigh or shin, but may appear also on the scalp, forearm and trunk. There is not an effective treatment and the lesions tend to disappear spontaneously after several years. Diabetic Ketoacidosis (DKA) Severe, out-of-control diabetes (high blood sugar) that needs emergency treatment. DKA is caused by a profound lack of circulating insulin. This may happen because of illness, taking too little insulin, or getting too little exercise. The body starts using stored fat for energy, and ketone bodies (acids) build up in the blood. Diabetic Myelopathy Spinal cord damage found in some people with diabetes. Diabetic Osteopathy Loss of foot bone as viewed by x-ray; usually temporary. Also called "disappearing bone disease." Diabetogenic Causing diabetes; some drugs cause blood glucose (sugar) to rise, resulting in diabetes. We thank you for using the Medical Glossary to search for Diabetic Coma. If you have a better definition for Diabetic Coma than the one presented here, please let us know by making use of the suggest a term option. This definition of Diabetic Coma may be disputed by other professionals. Our attempt is to provide easy definitions on Diabetic Coma and any other medical topic for the public at large.
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