yfel99 wrote:
"After stabilizing the patient, a careful history and physical examination and a diagnostic strategy should be aimed at determining the precipitating event. In most inner-city practices, the most common cause of DKA is noncompliance with insulin therapy and is usually easily treated. The second most common cause is infection, with viral syndromes, urinary tract infection, pelvic inflammatory disease, and pneumonia predominating."
Larsen: Williams Textbook of Endocrinology
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| yfel99
Forum Junior
Topics: 1
Posts: 7
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stress from infection produces catecholamines, glucocorticoids. This in combination with insulin deficiency produces hyperglycemia and ketoacidosis
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| robin082006
Forum Hero
Topics: 471
Posts: 5,123
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Any stress may lead to ketoacidosis in DM1 but infection is the most cause
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| sridevibandaru24
Forum Guru
Topics: 33
Posts: 434
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infection
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| Musuq
Forum Guru
Topics: 103
Posts: 425
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Infection then?
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| ManuNastai
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yes... we get carried away by these stupid things and don't think logically. of course it's C
i don't think infection linked increase in stress hormones would take him to hyperketotic coma if he is compliant with insulin. they can increase glicemia, also lack of exercise in an active diabetic could lead to increase in blood glucose, but not as such high levels
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