How is hyperosmolar non-ketotic diabetic coma treated in the elderly?
Disease description:
While having this chat, my grandfather suddenly fell into a coma. After being rushed to the hospital, the doctor diagnosed him with hyperosmolar nonketotic diabetic coma. How is hyperosmolar nonketotic diabetic coma treated in elderly patients?
Doctor's answer (1)
Dr. Guan Yanlei
For elderly patients with hyperosmolar non-ketotic diabetic coma, it is necessary to monitor vital signs and rehydrate promptly. This condition has a high mortality rate; immediate fluid replacement, intravenous insulin administration, and appropriate fluid selection based on serum osmolality—using either hypotonic or isotonic solutions—are essential. Predisposing factors must be identified and addressed, including potential infections and complications such as cardiovascular or cerebrovascular events. Supportive treatments, including electrocardiographic monitoring and oxygen supplementation, are also required.
