Chapter

Presentation and diabetic emergencies

David Levy

in Type 1 Diabetes

Published on behalf of Oxford University Press

ISBN: 9780199553211
Published online September 2011 | e-ISBN: 9780191740190 | DOI: http://dx.doi.org/10.1093/med/9780199553211.003.0002

Series: Oxford Diabetes Library

Presentation and diabetic emergencies

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• Presentation of Type 1 diabetes is highly variable, from fulminant (few days) to several years. • Diabetic ketoacidosis (DKA) is a manifestation of β-cell failure, not of autoimmune diabetes, and can also occur in Type 2 diabetes. • Partial recovery of β-cell function (‘honeymoon’) after diagnosis is common, and can be prolonged. • Most newly presenting Type 1 patients can be managed as outpatients; relatively few now present with DKA. • DKA fortunately now carries a very low mortality in developed health-care systems, but its management requires care, and very careful attention to fluid and electrolyte management. • Severe hypoglycaemia is experienced annually by 10%–30% of Type 1 patients, though this figure may currently be lower. Follow-up of patients admitted to hospital with hypoglycaemia is as important as the emergency management.

Chapter.  5724 words.  Illustrated.

Subjects: Endocrinology and Diabetes

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