Diabetes emergencies in the patient with type 2 diabetes.
Type 2 diabetes has traditionally been associated with the development of hyperglycemic hyperosmolar nonketotic syndrome (HHNKS), yet evidence suggests that diabetic ketoacidosis (DKA) is increasing among this population. Patients with type 2 diabetes may develop DKA or HHNKS and require hospitalization. In addition, patients with type 2 diabetes, hospitalized for other medical or surgical conditions, are clearly at risk for the development of metabolic decompensation during hospitalization. This article explores the acute complications of type 2 diabetes and some of the issues associated with managing these patients in the hospital setting.
Quinn
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Department of Medical-Surgical Nursing, University of Illinois at Chicago College of Nursing, Chicago, Illinois 60612, USA.
D001784:Blood Gas Analysis; D001786:Blood Glucose / Q000032:analysis; D003681:Dehydration / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000378:metabolism / Q000628:therapy; D016883:Diabetic Ketoacidosis / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D004630:Emergencies; D004638:Emergency Treatment / Q000379:methods* / Q000451:nursing; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy*; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007239:Infections / Q000150:complications; D009730:Nursing Assessment; D015985:Precipitating Factors
D001786:Blood Glucose; D007004:Hypoglycemic Agents