title: [Diabetic coma].
abstract: The diabetic coma presents a metabolic derangement which is initiated by a lack of insulin but is markedly enhanced by intracellular insulin resistance. The most essential points of insulin, fluid and electrolyte substitution are presented in this publication. Intensive care treatment is recommended not only because of the severe metabolic defect but also because of disturbances coming up in the course of treatment.
mesh_terms: D002496:Central Venous Pressure; D003422:Critical Care; D003926:Diabetic Coma / Q000451:nursing / Q000503:physiopathology* / Q000628:therapy; D004211:Disseminated Intravascular Coagulation / Q000517:prevention & control; D005440:Fluid Therapy; D006470:Hemorrhage / Q000517:prevention & control; D006493:Heparin / Q000627:therapeutic use; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D007333:Insulin Resistance; D011188:Potassium / Q000627:therapeutic use; D012964:Sodium / Q000627:therapeutic use
chemical_list: D006635:Histamine H2 Antagonists; D007328:Insulin; D006493:Heparin; D012964:Sodium; D011188:Potassium
vernacular_title: Coma diabeticum.