Emergency therapy of diabetic crises: insulin overdose, diabetic ketoacidosis, and hyperosmolar coma

• Published in: The Veterinary clinics of North America. Small animal practice Vol. 25; no. 3; p. 639
• Main Author: Macintire, D K
• Format: Journal Article
• Language: English
• Published: United States 01-05-1995
• Subjects: Animals; Cat Diseases - etiology; Cat Diseases - therapy; Cats; Diabetes Complications; Diabetes Mellitus - therapy; Diabetes Mellitus - veterinary; Diabetic Ketoacidosis - etiology; Diabetic Ketoacidosis - therapy; Diabetic Ketoacidosis - veterinary; Dog Diseases - etiology; Dog Diseases - therapy; Dogs; Dose-Response Relationship, Drug; Drug Overdose; Emergencies - veterinary; Humans; Hyperglycemic Hyperosmolar Nonketotic Coma - etiology; Hyperglycemic Hyperosmolar Nonketotic Coma - therapy; Hyperglycemic Hyperosmolar Nonketotic Coma - veterinary; Insulin - adverse effects; Insulin - therapeutic use; Insulin Coma - etiology; Insulin Coma - therapy; Insulin Coma - veterinary
• ISSN: 0195-5616
• DOI: 10.1016/S0195-5616(95)50059-2

Three types of diabetic crises occur: insulin overdose, diabetic ketoacidosis, and hyperosmolar coma. Neurologic signs may accompany each of these syndromes, and each must be differentiated quickly by the emergency clinician so that an appropriate treatment plan can be initiated. The basic goal is to restore metabolic derangements and to stabilize the patient so that it can then be managed more routinely as an uncomplicated diabetic.