Coma diabétique
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2008-06-09T03:41:18Z
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{{ébauche|médecine}}
Le '''coma diabétique''' est une [[urgence médicale]] dans laquelle une personne atteinte de [[diabète sucré]] est [[coma]]teux (inconscient) à cause de l'une des trois [[complications aiguës du diabète]] :
# [[hypoglycémie diabétique]] grave
# [[cétoacidose diabétique]] à un stade suffisamment avancé pour entraîner la perte de [[science et conscience|conscience]] par une association d'[[hyperglycémie]] grave, de [[déshydration]] et de [[choc]], <!--and exhaustion-->
# [[coma hyperosmolaire non-cétonique]] dans lequel une [[hyperglycémie]] et une [[déshydration]] extreme sont suffisantes pour entraîner une perte de conscience.
<!--In most medical contexts, the term diabetic coma refers to the diagnostic dilemma posed when a physician is confronted with an unconscious patient about whom nothing is known except that he has diabetes. An example might be a physician working in an [[emergency department]] who receives an unconscious patient wearing a [[medical identification tag]] saying DIABETIC. [[Paramedic]]s may be called to rescue an unconscious person by friends who identify him as diabetic. Brief descriptions of the three major conditions are followed by a discussion of the [[diagnosis|diagnostic process]] used to distinguish among them, as well as a few other conditions which must be considered.-->
==Hypoglycémie grave==
==Phase avancée de céto-acidose diabétique==
==coma non-cétonique hyperosmolaire==
==Identification de la cause du coma diabétique==
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Diabetic coma was a more significant diagnostic problem before the late 1970s, when glucose meters and rapid blood chemistry analyzers became universally available in hospitals. In modern medical practice, it rarely takes more than a few questions, a quick look, and a meter glucose to determine the cause of unconsciousness in a patient with diabetes. Laboratory confirmation can usually be obtained in half an hour or less. Also, the astute physician remembers that other conditions can cause unconsciousness in a person with diabetes: stroke, uremic encephalopathy, alcohol, drug overdose, head injury, or seizure.
Fortunately, most episodes of diabetic hypoglycemia, DKA, and extreme hyperosmolarity do not reach unconsciousness before a family member or caretaker seeks medical help.
-->
== Voir aussi==
* [[hypoglycémie diabétique]]
* [[cétoacidose diabétique]]
* [[coma non-cétonique hyperosmolaire]]
{{Portail médecine}}
[[Catégorie:Urgence médicale]]
[[Catégorie:Diabète]]
[[Catégorie:Médecine interne]]
[[de:Diabetisches Koma]]
[[en:Diabetic coma]]
[[es:Coma diabético]]
[[no:Sukkerslag]]
[[pt:Coma diabético]]