Affiliation:
1. Senior Lecturer in Critical Care, University of South Wales
2. Lecturer in Advanced Paramedic Practice, University of South Wales
3. Senior Lecturer, School of Care Science, University of South Wales; Pontypridd
Abstract
Overview Diabetes is a group of metabolic diseases characterised by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic complications of diabetes include accelerated development of cardiovascular disease, end-stage renal disease, loss of visual acuity, and limb amputations. However, in the acute situation, diabetes can result in conditions such as diabetic ketoacidosis and hyperosmolar hyperglycemic state, both of which have the same cause: insufficient insulin. This article explores the physiology of glucose control, the pathophysiology of diabetes and the role of the paramedic in the prehospital treatment of the diabetic emergencies, diabetic ketoacidosis and hyperosmolar hyperglycemic state.
Cited by
2 articles.
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