Asymptomatic, nonketotic, severe hyperglycemia with hyponatremia.
Arch Intern Med
; 150(9): 1962-4, 1990 Sep.
Article
em En
| MEDLINE
| ID: mdl-2393329
ABSTRACT
We describe five patients with asymptomatic, nonketotic, severe hyperglycemia (serum glucose concentrations between 45.8 and 92 mmol/L) in the face of renal insufficiency are described. As opposed to most of the previously described patients with hyperglycemic, nonketotic, hyperosmolar coma, our patients were hyponatremic. The lack of symptoms in our patients may be related to the absence of cerebral cellular dehydration. Aggressive treatment of hyperglycemia in such patients is unnecessary. Attention to the serum sodium level as well as to the serum glucose concentration will allow recognition of this clinical entity.
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Base de dados:
MEDLINE
Assunto principal:
Coma Diabético
/
Coma Hiperglicêmico Hiperosmolar não Cetótico
/
Hiponatremia
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
1990
Tipo de documento:
Article