Study for the Lack of Mental Changes to Severe Hyperglycemia in Diabetic Patients with Renal Failure / 대한신장학회잡지
Korean Journal of Nephrology
;
: 1086-1090, 2000.
Artigo
em Coreano
| WPRIM
| ID: wpr-161180
ABSTRACT
In diabetic patients who were being treated with hemodialysis, coma and other neurological deficits did not occur in spite of extremely elevated serum glucose levels. In this report, we compared diabetic patients with renal failure in severe hyperglycemia with nonketotic hyperosmolar coma patients with normal renal function to know what affect mental changes. Mental changes were not present in diabetic patients with renal failure. These patients with renal failure showed more severe hyperglycemia, but corrected serum sodium concentration and calculated effective serum osmolality were low. So it is suggested that corrected serum sodium concentration and effective serum osmolality are more important factor affecting mental changes than high blood glucose levels in diabetic patients with renal failure, due to absence of osmotic diuresis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Concentração Osmolar
/
Sódio
/
Glicemia
/
Diálise Renal
/
Coma
/
Diurese
/
Insuficiência Renal
/
Hiperglicemia
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Ano de publicação:
2000
Tipo de documento:
Artigo
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