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It was like your daughter who had diabetic ketoacidosis and realized that she had diabetes. The doctor continued.

The 111 doctor explained that this is an acute complication of diabetes, which may have infection, renal failure, acute liver damage, etc., which will endanger life and must be rescued immediately.

Given the critical condition, he was transferred to the ICU for treatment urgently.

When the ICU nurse drew blood, she found that the patient's blood was milky white, which was rare among young people. This is the original news, and it remains to be seen whether it is like this.

And why does this female patient suffer from ketoacidosis?

After asking about the medical history, I learned that the patient had been drinking milk tea frequently recently. Drinking a lot of milk tea may consume a lot of sugar, which may lead to severely high blood sugar in the body, which will naturally induce ketoacidosis. It is very likely that this young girl has type 1 diabetes, but she just didn't know it in advance.

Generally speaking, patients with type 1 diabetes have a tendency to spontaneous ketoacidosis, which means that this complication may occur if they are not careful. In addition, many causes can cause ketoacidosis, the most common ones are infections, whether it is lung infection, urinary tract infection or infection in other parts. In addition, interruption of insulin treatment can also induce ketoacidosis, various stress, alcoholism, and certain drugs (glucocorticoids, etc.) may induce ketoacidosis.

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When the patient knows that he may have drunk too much milk tea and other beverages, his blood sugar level is too high, and his blood almost turns into "sweet drinks", he regrets it and says he will actively cooperate with the doctor's advice for treatment. This is also the original news.

However, it is impossible to find out whether the patient has ketoacidosis caused by drinking milk tea. However, for a type 1 diabetic patient, it is definitely wrong to eat irregular diet, excessive sugar intake, and irregular use of insulin to lower sugar. Even if there is no problem today, there may be problems tomorrow. Even if it is not caused by milk tea today, it may also be caused by ice cream the day after tomorrow. In short, without a regular understanding of the disease, before regular treatment, patients are exposed to the muzzle of the "sniper".

The patient eventually survived and became safe.

There are two key points. We have repeatedly mentioned earlier, one is insulin and the other is rehydrated in large quantities. Because patients with diabetic ketoacidosis have severe hyperglycemia, hyperacid ketones, and various acidic substances accumulate, causing permeable diuresis. The ketone body is discharged from the lungs and takes away a lot of water. After the onset, the patient may have a bad appetite and not much food or even vomiting, and lose a lot of water. Therefore, the patient is generally very dehydrated and must rehydrate in large quantities.

Before discharge, the doctor also explained to the patient and his parents that insulin must be used for a long time in the future, and may even require lifelong use. This is not a drug! This is not an addiction. It is because the islet cells in the patient's body are destroyed by viruses or immune systems and cannot produce insulin by themselves. The only hormone that can lower blood sugar is insulin. Without insulin, blood sugar will certainly increase, making diabetes even more uncontrollable.

Insulin is life!

Therefore, it is necessary to use insulin for a long time.

Patients with type 1 diabetes who are resistant to insulin have very miserable consequences. We do not want to see similar tragedies happen. We hope that everyone can formally act insulin. Of course, insulin is not always so beautiful. Inappropriate use of insulin, such as excessive insulin dose, may cause hypoglycemia at that time. High blood sugar will be fatal, and hypoglycemia will also be fatal, and the death rate will be faster. Therefore, the rational use of insulin under the guidance of a doctor is the key to treating type 1 diabetes.

Unfortunately, most patients with type 1 diabetes have not received formal and effective treatment. This number may be hundreds of thousands or even more, which requires long-term efforts to popularize science. In particular, most of these patients with type 1 diabetes are children, and they need more attention from their parents.

I was flooded with a news in the past two days. Dr. Li made some treatment details (subjective based on facts, for popular science only, without intention to hurt anyone).

A 22-year-old young woman was rushed to the hospital emergency room!

According to news reports, when the patient was sent to the emergency room, he was in a coma, his blood pressure was only 95/37mmHg, and his bilateral pupils were large and equal in diameter were about 5mm. The internal medicine doctor in the emergency department quickly checked her blood.

Emergency doctors are most afraid of encountering coma patients. Dr. Li repeatedly introduced to everyone. Of course, abdominal pain and chest pain are also the most painful headaches for emergency doctors, because these symptoms may contain fatal causes, and the real culprit may not be found in a short while.

The same is true for coma.

There is a mantra in the industry: lower the heart, liver, lungs, and brain epilepsy and interpret urine. In just ten words, they cover common causes of coma. They said this.

Blood gas analysis, liver and kidney function, electrolyte, blood routine, blood coagulation, blood ketone body, blood sugar test, and the patient's urine is also left, and urine routine, urine sugar, and urine ketone body tests are performed.

While waiting for the results, the emergency department doctors are not idle. On the one hand, they use insulin to lower blood sugar, and on the other hand, they actively replenish fluids quickly. It is easy to understand using insulin. Insulin is like a key. After being injected into the human body, it can drive glucose into cells for utilization. Glucose will not be crowded in the blood vessels, thereby reducing blood sugar in the blood, and cells are also utilizing glucose, the best of both worlds.

Why does my daughter use insulin? My parents asked inexplicably.

With such high blood sugar, only insulin can quickly reduce blood sugar can prevent problems such as brain edema, organ failure, etc. to the greatest extent. The doctor explained.

Is insulin not addicted? Parents are worried about it.

No. Patients get sick because they lack insulin, just like they have to eat when they are hungry. Supplementing insulin is to eat.

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The results came out soon, and blood gas analysis indicated "metabolic acidosis" and blood sugar was 30mmol/L. The emergency doctor was frightened and initially diagnosed as "diabetic ketoacidosis".

It seems that CT of the head is not necessary, because the cause of coma is obvious. Such high blood sugar and sour internal environment may cause coma at any time.

There are two most common types of diabetes, one is called type 1 diabetes and the other is called type 2 diabetes. In fact, type 2 diabetes is the most common. Tens of millions of diabetes in China, 95% are type 2 diabetes, mainly caused by insulin resistance or lack of insulin, and mostly caused by middle-aged people. Type 1 diabetes is mainly caused by young people and children, mainly caused by islet destruction due to autoimmunity, and cannot continue to secrete sufficient amounts of insulin, which leads to high blood sugar. This type of patients may not know that they have diabetes, and when they consume excessive sugar (irregular diet), or severe infection, etc., they will induce acute complications of diabetes.
Chapter completed!