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Hyperglycemia crisis
Diabetic ketoacidosis (DKA) Hyperglycemic Hyperosmolar State (HHS)
Hypoglycemia
Precipitating factors
Kekurangan Insulin Infeksi(pneumonia/Gastroenteritis/se psis) Infarction (cerebral, coronary, mesenteric, peripheral) Obat-obatan (cocaine) kehamilan
Hipoglikemi
Hypoglycemia adalah keadaan gula darah berada di bawah normal yang dapat menyebabkan disfungsi dari CNS. Hypoglycemia: BG <50 mg/dL in men; <45 mg/dL in women
Faktor Hipoglikemi
Missed or delayed meal Eating less food at a meal than planned Vigorous exercise without carbohydrate compensation Taking too much diabetes medicine (e.g., insulin, insulin secretagogues, and meglitinides) Drinking alcohol
Signs of Hypoglycemia
Mild Hypoglycemia:
Pallor, Diaphoresis, Tachycardia, Palpitations, Hunger, Paresthesias, Shakiness Individual is able to self-treat
Moderate Hypoglycemia
Inability to Concentrate, Confusion, Slurred Speech, Irrational or uncontrolled behavior, slowed reaction time, blurred vision, somnolence, extreme fatigue Individual is able to self-treat
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Signs of Hypoglycemia
Severe Hypoglycemia
Completely automated/disoriented behavior Loss of Consciousness Inability to arouse from sleep Seizures Individual requires assistance of another person