title: [Hyperosmolar diabetic coma. Case reports and review of the literature].
abstract: The physiopathology and clinical picture of hyperosmolar diabetic coma are described, and four personal cases are presented. This form of coma is a rare, but particularly serious complication of diabetes mellitus. Since its prognosis is poor, even when suitable treatment is provided, the greatest possible care should be devoted to preventing its main cause, namely dehydration.
mesh_terms: D000368:Aged; D003681:Dehydration / Q000150:complications*; D003926:Diabetic Coma / Q000503:physiopathology*; D005260:Female; D005334:Fever / Q000150:complications; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000209:etiology / Q000503:physiopathology* / Q000517:prevention & control; D007038:Hypotonic Solutions / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009994:Osmolar Concentration
chemical_list: D007038:Hypotonic Solutions; D007328:Insulin
vernacular_title: Coma diabetico iperosmolare. Contributo casistico e revisione della letteratura.