Diabetic hyperosmolarity: a consequence of loss of autonomy.
Diabetic hyperosmolarity is a serious acute metabolic disorder mainly occurring in the frail elderly subject presenting age-related favoring factors (reduced sensation of thirst, altered endocrine regulation), disease-related favoring factors (cognitive impairment, poor nutritional status and/or loss of autonomy), and a triggering factor, generally infection. Diabetic hyperosmolarity can occur in a previously non-diabetic patient. Intense dehydration dominants the clinical picture. The prognosis depends largely on the underlying chronic disease.
Constans
T
T
Faculté de Médecine de Tours, Université François-Rabelais, F-37032 Tours Cedex 1, France. t.constans@chu-tours.fr
D003920:Diabetes Mellitus / Q000097:blood / Q000523:psychology* / Q000534:rehabilitation / Q000628:therapy; D006801:Humans; D026684:Personal Autonomy; D011379:Prognosis