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Insulin pump in diabetic hyperosmolar nonketotic hyperglycemic coma therapy
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Insulin pump in diabetic hyperosmolar nonketotic hyperglycemic coma therapy
[Abstract] Objective: To investigate the insulin pump in diabetic hyperosmolar nonketotic hyperglycemic coma in the treatment of and effect. Methods: 5 patients with type 2 diabetic hyperosmolar nonketotic coma in patients with high blood sugar, in accordance with the conventional treatment method of rehydration, maintenance of electrolyte balance and cause induced by active treatment, based on the given continuous subcutaneous insulin infusion insulin pump (CSII therapy, monitoring of blood glucose decline. Results: In the time rehydration, correction of electrolyte disorders, removal of incentives, based on the CSII can make the blood sugar steady decline to correct glucose metabolism disorders, and reduce the incidence of low blood sugar. Conclusion: CSII in diabetic hyperosmolar nonketotic coma in the treatment of high blood sugar can make the blood sugar steady decline, reaching a better therapeutic effect.
[Keywords:] insulin pump, hyperosmolar nonketotic hyperglycemic coma
Hyperosmolar nonketotic hyperglycemic coma is a rare, serious acute complications of diabetes, occurs in the elderly type 2 diabetic patients, no significant gender differences. The clinical features of severe hyperglycemia, dehydration, infiltration of plasma hypertension without obvious ketoacidosis, patients are often unconscious or coma. the disease of high mortality, early foreign reporting up to 40% to 70%. early, timely treatment can help improve the prognosis. The treatment principles rapid and massive rehydration, low-dose insulin treatment to maintain electrolyte balance, and incentives. I Section 5 cases of nonketotic hyperosmolar coma treatment of patients with high blood sugar, the application of continuous subcutaneous insulin infusion insulin pump (CSII to correct glucose metabolism disorders. summary report are as follows.
1 Subjects and methods
1.1 The summ
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