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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can severe Diabetic Coma Be Treated?

My girlfriend 56 yes old was taken to the hospital in a diabetic coma.3days later she was doing fine .on day 4 she was told she had an unusually high level of potassium in her blood and they put her on iv s.day five her legs and abdomen were swollen and she weighed 35lbs. more.she also was having trouble breathing. They released her on day 6.telling her this water gain would be gone in a couple days.three weeks have gone by and she is still swollen up and can hardly walk 3 steps without having to stop a struggle for a breath of air. What do you think they did to her to cause this big downfall in her health?she has been givenGabapenten 300 mg.3x Dailey,81mg.aspirin,hydralazine 50mg.1x Dailey,clonidine .2mg.1x daily., Levemir insulin 2x day if needed.
Tue, 14 Mar 2017
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General & Family Physician 's  Response
The most important part of treating a diabetic coma is fluid resuscitation. People can very easily die from these diabetic comas and the ICU is usually focused on short term goals rather than the long term effects (although they obviously take it into consideration). Getting rid of that extra water weight can take some time. Be patient and discuss the problems with your doctor. He may find it prudent to switch her hydralazine to a different blood pressure medication that also increases her water loss. But these are things you will have to discuss with the doctor

Dr. Rihani
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How Can severe Diabetic Coma Be Treated?

The most important part of treating a diabetic coma is fluid resuscitation. People can very easily die from these diabetic comas and the ICU is usually focused on short term goals rather than the long term effects (although they obviously take it into consideration). Getting rid of that extra water weight can take some time. Be patient and discuss the problems with your doctor. He may find it prudent to switch her hydralazine to a different blood pressure medication that also increases her water loss. But these are things you will have to discuss with the doctor Dr. Rihani