A Complicated Case of Severe Sepsis with DKA

Diabetic Ketoacidosis is a life-threatening complication of diabetes typically seen in patients with type-1 diabetes mellitus & less in Type-2 DM. It becomes more serious when complicated with other disease conditions. Dr. Azam presents you a complicated case of Severe Sepsis with DKA & how it is handled with perfection. Share your views on the case.& Follow us for more such updates!

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A complicated case of severe sepsis with DKA - nicely presented and managed by Dr Azam Mohammad- as a curofy Expert clinical case. Although more common in T1DM - but in this case it is T2DM. Diabetic , ketoacidosis (DKA) is an acute metabolic complication of diabetes characterized by hyperglycemia, hyperketonemia, and metabolic acidosis. Hyperglycemia causes an osmotic diuresis with significant fluid and electrolyte loss. DKA occurs mostly in type 1 diabetes mellitus. It causes nausea, vomiting, and abdominal pain and can progress to cerebral edema, coma, and death. DKA is diagnosed by detection of hyperketonemia and anion gap metabolic acidosis in the presence of hyperglycemia. Treatment involves volume expansion, insulin replacement, and prevention of hypokalemia.

Definitely sir. It's an emergency in T1 DM , Patient Education , regarding glucose monitoring, proper insulin therapy and it's technique. Maintaining hygiene, foot care, hydration, regular follow check up of ophthalm,cardiac, renal parameters, are important avoiding macro and microvascular complications and ofcourse avoiding medical emergency like DKA. Thanks for sharing information.

Thank you sir
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Thank you sir
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IT IS A NICE ILLUSTRATION OF DIABETIC KETOACIDOSIS GOING IN TO SEPSIS AS A MATTER OF FACT DVM HAS BECOME ALLMOST GLOBAL AND IS ON THE HIKE THE RISK FACTOR S ARE GENETIC FAMILY HISTORY OBESITY LACK OF EXERVISES SANDATRY KIFE FATTY FOODS HIGH CHOLESTEROL ONE HAS TO MANAGE D M IN A BEST POSSIBLE WAY IN ORDER TO KEEP FBS UNDER CONTROL AND HBAIC TO BE BERWEEN 6 TO 7 OTHERWISR UNCONTROLLED D M CAN LEAD BTO COMPLECATIONS

Thank you sir
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Nicely presented complicated case of severe sepsis with DKA by Dr Azam DKA can happen to people with type 2 diabetes, but it's rare. If you have type 2, especially when you're older, you're more likely to have a condition with some similar symptoms called HHNS (hyperosmolar hyperglycemic nonketotic syndrome). Sepsis alone may lead to ketoacidosis in patients without diabetes under specific conditions. The accumulation of ketones and other strong anions can occur in cases involving a decreased metabolic function. There may be a pathological condition called septic ketoacidosis. DKA also have possible complications:- Low levels of potassium (hypokalemia) Swelling inside the brain (cerebral edema) Fluid inside your lungs (pulmonary edema) Damage to your kidney or other organs from your fluid loss. Thanks for sharing information

Diabetic ketoscidosis with multi organ failure leading to grave complications we must control diabetes before it become life threatening

Well done.... Congratulations

Good experience sharing and proper presentation.. congratulations.. DKA needs proper care and stepwise approach... good learning experience...

Thanks for you
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KPR AND URINE OUT PUT AFTER PERFUSION OF HALF STRINGTH NORMAL SALINE AFTER GIVING ANTIBIOTIC/S ALONG WITH INSULIN WILL DECIDE TO THE OUTCOME OF THE CASE PL NARRATES NO OF SALINE BOTTLES AND TIME TOOK TO RECOVERY OF THE CASE THUS MISSING FROM THE CASE HISYORY

Thx

Thanks doc
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