What insulin dose is used for coma secondary to diabetic ketoacidosis?A. 0,1 U/кg/hrB. 1 U/кg/hrC. 80-100 U/24 hoursD. 40-60 U/24 hoursE. 100-200 U/24 hours

Ebk:Nutrition & Diet Therapy
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ISBN:9780357391747
Author:DEBRUYNE
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Chapter21: Carbohydrate- Controlled Diets For Diabetes Mellitus
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What insulin dose is used for coma secondary to diabetic ketoacidosis?
A. 0,1 U/кg/hr
B. 1 U/кg/hr
C. 80-100 U/24 hours
D. 40-60 U/24 hours
E. 100-200 U/24 hours

Expert Solution
Step 1

Diabetic ketoacidosis occurs when ketones passes in urine of person having hyperglycemia. The body starts break down of stored fat to fulfill the requirements of the energy in the muscle cells. During this process,  ketones are produced as toxic substances. These ketones passes in urines.  If left untreated,  it can lead to diabetic coma. 

Diabetic ketoacidosis is most common in type 1 diabetes and rarely occurs in type 2 diabetes or gestational diabetes.

Step 2

Diabetic ketoacidosis (DKA) is different from other diabetic emergencies as in DKA,  there is marked metabolic acidosis along with high ketones in blood and urine.  

In these, there are some complications such as diabetic coma,  in which a person become unconscious either due to dangerously high blood sugar or dangerously low blood sugar.

 

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