Hyperglycemic Crises in Adult Patients With Diabetes: A Consensus Statement From the American Diabetes Association | Zendy

Abbas E. Kitabchi | Zendy; Guillermo E. Umpierrez | Zendy; Mary Beth Murphy | Zendy; Robert A. Kreisberg | Zendy

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Hyperglycemic Crises in Adult Patients With Diabetes: A Consensus Statement From the American Diabetes Association

Author(s) -

Abbas E. Kitabchi,

Guillermo E. Umpierrez,

Mary Beth Murphy,

Robert A. Kreisberg

Publication year - 2007

Publication title -

diabetes care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 6.636

H-Index - 363

eISSN - 1935-5548

pISSN - 0149-5992

DOI - 10.2337/dc07-0694

Subject(s) - medicine , diabetes mellitus , statement (logic) , medline , association (psychology) , intensive care medicine , endocrinology , philosophy , epistemology , political science , law

In response to the comments by Dr. Rosival (1), we point out that impaired mental status is present in 52% of adult patients with diabetic ketoacidosis (DKA) and 74% of patients with hyperglycemic hyperosmolar syndrome (HHS) (2). Although most patients are lethargic or stuporous on arrival, 13% of admissions for DKA and 23% for HHS present with loss of consciousness. In previous reports (3–6), we evaluated the relationship between the initial biochemical data and level of consciousness in adult patients with DKA (4). In 1980, we reported that age, admission plasma …

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