诊断

如果您出现糖尿病昏迷,及时诊断十分重要。急救医疗团队将为您进行体格检查,并可能向同行者询问您的病史。如果您患有糖尿病,您可能应该佩戴患者手环或颈环。

化验

在医院,您可能需要进行各种的化验以便测量:

  • 血糖水平
  • 酮水平
  • 血液中氮或肌酐的含量
  • 血液中钾、磷和钠的含量

治疗

Diabetic coma requires emergency medical treatment. The type of treatment depends on whether your blood sugar level is too high or too low.

高血糖

如果血糖水平过高,您可能需要:

  • 静脉输液为您的组织补充水分
  • 钾、钠或磷酸盐补充剂,以帮助您的细胞正常运作
  • 胰岛素,以帮助您的组织吸收血液中的葡萄糖
  • 任何基础感染的治疗

低血糖

如果您的血糖水平太低,您可能需要注射胰高血糖素,这会使血糖水平迅速上升。静脉注射葡萄糖也可提高血糖水平。

准备您的预约

糖尿病昏迷是一种医疗紧急事件,您根本没有时间准备。如果您觉得自己有血糖过高或过低的症状,请拨打 911 或您当地的紧急电话,以确保在您昏迷前得到帮助。

如果您与因糖尿病过世的患者或行为异常(如同他或她喝了太多酒)的人在一起,请立即打电话寻求医疗帮助。

在此期间您可以做什么

如果您没有接受过糖尿病护理培训,请等待急救护理团队到来。

如果您熟悉糖尿病护理,请对失去意识者进行血糖测试,并按照以下步骤操作:

  • 如果血糖水平低于 70mg/dL(3.9 mol/L),请给患者注射胰高血糖素。不要试图给服液体,也不要给低血糖者注射胰岛素。
  • 如果血糖水平高于 70 mg/dL(3.9 mmol/L),请等待医疗救助。不要给非低血糖者补糖。
  • 如果您需要医疗救助,请向急救护理团队说明糖尿病病情和您已采取的措施(如有)。
July 03, 2022
  1. Standards of Medical Care in Diabetes — 2018. Diabetes Care. 2018;41(suppl 1).
  2. Service FJ. Hypoglycemia in adults: Clinical manifestations, definition, and causes. https://www.uptodate.com/contents/search. Accessed June 19, 2018.
  3. Tips for emergency preparedness. American Diabetes Association. http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/tips-for-emergency-preparedness.html. Accessed June 19, 2018.
  4. Hypoglycemia. National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs/hypoglycemia/. Accessed June 19, 2018.
  5. Disadvantages of using an insulin pump. American Diabetes Association. http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/disadvantages-of-using-an.html. Accessed June 19, 2018.
  6. Continuous glucose monitoring. National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/dm/pubs/glucosemonitor/. Accessed June 19, 2018.
  7. Managing Diabetes. National Institute of Diabetes and Digestive Diseases. https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes. Accessed June 19, 2018.
  8. Cryer PE. Management of hypoglycemia during treatment of diabetes mellitus. https://www.uptodate.com/contents/search. Accessed June 19, 2018.
  9. Hirsch IB. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Clinical features, evaluation, and diagnosis. https://www.uptodate.com/contents/search. Accessed June 19, 2018.
  10. McCulloch DK. Clinical presentation and diagnosis of diabetes mellitus in adults. https://www.uptodate.com/contents/search. Accessed June 19, 2018.
  11. Hirsch IB. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Treatment. https://www.uptodate.com/contents/search. Accessed June 19, 2018.
  12. Castro MR (expert opinion). Mayo Clinic, Rochester, Minn. July 24, 2018.