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12.09.2014, admin  
Category: High Blood Sugar Symptoms

A 52-year-old man with diabetes mellitus presents for evaluation of an asymptomatic rash on his right leg. It is our hope that this article will help prepare you to deal with the pediatric diabetic patient in a knowledgeable and professional manner, and that this preparation will reduce the adrenaline level for prehospital responders.
You and your partner are dispatched for a 10-year-old diabetic patient who became unresponsive at school. It is important to understand the basic pathophysiology of juvenile diabetes in order to comprehend how and why its symptoms occur. The incidence of diabetes in children increases with age until mid puberty and then declines, but type 1 diabetes can occur at any age. The acute complications of type 1 diabetes are emergency conditions that can lead to life-threatening situations for the patient.


Diabetic ketoacidosis—Development of diabetic ketoacidosis, while less common than hypoglycemia, is more likely in the patient with type 1 diabetes. You may have a known diabetic child who becomes hypoglycemic and demonstrates a rapid onset of symptoms, or you may find a child not yet diagnosed with diabetes who slowly develops the symptoms associated with hyperglycemia. Diabetes is a chronic metabolic disorder caused by an absolute or relative deficiency of insulin. The two primary complications that can affect the diabetic patient are hypoglycemia and hyperglycemia, which may lead to diabetic ketoacidosis. The key to providing appropriate evaluation and management of the child with a diabetic emergency is to become familiar with the possible presentations you’re likely to encounter. An absence, destruction or other loss of these cells results in type 1 diabetes, also known as insulin-dependent diabetes mellitus.


Remember that in all cases, a complete set of vital signs should be obtained and recorded on the patient run sheet.Hypoglycemia—The development of hypoglycemia in children with diabetes is the more common complication and is sometimes referred to as an insulin reaction. Most children with diabetes have type 1 diabetes and will have a lifetime dependence on exogenous insulin.Insulin is essential for the body to process carbohydrates (sugars), but is also needed for the body to deal effectively with fat and protein metabolism. The cause of hypoglycemia in the diabetic child is that the child has either been given too much insulin or has not taken in an adequate amount of glucose to balance the insulin dose. If left untreated, the child wastes away and develops diabetic ketoacidosis (DKA), which may be fatal.



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