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Double trouble: managing diabetic emergencies in patients with heart failure
Author(s) -
Philip Legate,
Poole Ruth
Publication year - 2018
Publication title -
practical diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.205
H-Index - 24
eISSN - 2047-2900
pISSN - 2047-2897
DOI - 10.1002/pdi.2181
Subject(s) - medicine , heart failure , diabetes mellitus , framingham risk score , cardiology , heart disease , diabetic ketoacidosis , framingham heart study , ketoacidosis , coronary artery disease , intensive care medicine , disease , endocrinology , type 1 diabetes
Heart failure and diabetes frequently coexist and recent evidence suggests a bidirectional relationship with an increased risk of heart failure in patients with diabetes but also an increased risk of developing diabetes in patients with heart failure.1,2 Although the management of heart failure in patients with stable glycaemia is relatively straightforward, the management of the two conditions becomes difficult during diabetic ketoacidosis (DKA) or hyperosmolar hyperglycaemic state (HHS). Diuretics and fluid restriction are essential components of heart failure management while aggressive intravenous fluid replacement is indicated in DKA and HHS.