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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acute Diabetes Mellitus

A 52 year old patient is admitted to the hospital with vomiting/diarrhea and has fasting blood sugar of 512 mg/dl and an arterial pH of 7.38. He is diagnosed with diabetes mellitus and treated with insulin and IV fluids. The nurse recognizes that most likely this patient a:will require insulin treatment only during stress, b:is demonstrating the abrupt onset of type 1 diabetes, c:will require long term insulin therapy to control diabetes, or d:has enough endogenous insulin to prevent diabetic ketoacidosis with the hyperglycemia?
Mon, 27 Oct 2014
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General & Family Physician 's  Response
History is not given properly. How long he has diabetes or first time found hyperglycemia. If he has diabetic since long time then what kind of medicine he was taken like medicine (Oral Hypoglycemic Agent ) or insuline. BUT if any case of hyperglycemia is treated by Bolus Intravenous insulin according to body weight, Fast Iv fluid and maintenance insulin therapy by IV fluids.
to perform final diagnosis for Diabetic ketoacidosis ( DKA) need some another rports like Serum for ketone bodies and Urine for ketone bodies
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Suggest Treatment For Acute Diabetes Mellitus

History is not given properly. How long he has diabetes or first time found hyperglycemia. If he has diabetic since long time then what kind of medicine he was taken like medicine (Oral Hypoglycemic Agent ) or insuline. BUT if any case of hyperglycemia is treated by Bolus Intravenous insulin according to body weight, Fast Iv fluid and maintenance insulin therapy by IV fluids. to perform final diagnosis for Diabetic ketoacidosis ( DKA) need some another rports like Serum for ketone bodies and Urine for ketone bodies