Diabetic coma is a reversible form of coma found in people with diabetes mellitus. The three main causes of the diabetes coma is severe low blood sugar (hypoglycemia) in type 1 diabetes, diabetic ketoacidosis (DKA), diabetic hyperosmolar (nonketotic) syndrome in type 2 diabetes.Hypoglycemia occurs when you don’t have enough glucose (sugar) in your body.DKA occurs when your body uses fat instead of glucose for energy as a result of insufficient insulin.Diabetic hyperosmolar syndrome only occurs in type 2 diabetes. It is also most common in older adults. This condition occurs when your blood sugar is too high.The most common early symptoms of DKA
A study of “causes of death” in children with insulin dependent diabetes in United Kingdom reports 71% of death were caused bydiabetes and 10% of those found dead in bed.
The treatment depends upon the cause , if the cause is low blood sugar level or hypoglycemia glucon may be administered intravenously.If the cause is Diabetic ketoacidosis, administration of isotonic fluids intravenously to correct dehydration and replacing lost electrolytes with sodium, potassium, magnesium and phosphate supplements. Insulin is administered intravenously to reduce blood glucose and reverse ketoacidosis.If the cause is hypoglycemia,plenty of intravenous fluids, insulin, potassium and sodium given as soon as possible.