title: Emergency therapy of diabetic crises: insulin overdose, diabetic ketoacidosis, and hyperosmolar coma.
abstract: Three types of diabetic crises occur: insulin overdose, diabetic ketoacidosis, and hyperosmolar coma. Neurologic signs may accompany each of these syndromes, and each must be differentiated quickly by the emergency clinician so that an appropriate treatment plan can be initiated. The basic goal is to restore metabolic derangements and to stabilize the patient so that it can then be managed more routinely as an uncomplicated diabetic.
authors.affiliation: Department of Small Animal Surgery, College of Veterinary Medicine, Auburn University, Alabama, USA.
authors.forename: D K
authors.initials: DK
authors.lastname: Macintire
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000209:etiology / Q000628:therapy*; D002415:Cats; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000628:therapy / Q000662:veterinary*; D016883:Diabetic Ketoacidosis / Q000209:etiology / Q000628:therapy / Q000662:veterinary*; D004283:Dog Diseases / Q000209:etiology / Q000628:therapy*; D004285:Dogs; D004305:Dose-Response Relationship, Drug; D062787:Drug Overdose; D004630:Emergencies / Q000662:veterinary; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000209:etiology / Q000628:therapy / Q000662:veterinary*; D007328:Insulin / Q000009:adverse effects / Q000627:therapeutic use; D007331:Insulin Coma / Q000209:etiology / Q000628:therapy / Q000662:veterinary*
chemical_list: D007328:Insulin