Blood Sugar Pathologies PDF

Summary

This table compares the symptoms of hypoglycemia and hyperglycemia, including Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State (HHS), highlighting differences in onset, skin conditions, odor of breath, and blood glucose levels. It also notes the response to treatment.

Full Transcript

## TABLE 24-1 Comparison of Hypoglycemia and Hyperglycemia | | Hypoglycemia | Hyperglycemia: Diabetic Ketoacidosis | Hyperglycemia: HHNS | |:-----------------------|:-----------------|:----------------------------------------|:----------------------| | Food intake...

## TABLE 24-1 Comparison of Hypoglycemia and Hyperglycemia | | Hypoglycemia | Hyperglycemia: Diabetic Ketoacidosis | Hyperglycemia: HHNS | |:-----------------------|:-----------------|:----------------------------------------|:----------------------| | Food intake | Insufficient | Excessive | Excessive | | Insulin dosage | Excessive | Insufficient | Insufficient | | Onset | Rapid, within minutes | Gradual-hours to days | Gradual-days to weeks | | Skin | Pale and moist | Warm and dry | Warm and dry | | Infection | Uncommon | Common | Usual | | Thirst | Absent | Intense | Very intense | | Hunger | Intense | Excessive | Excessive | | Vomiting | Uncommon | Common | Uncommon | | Breathing | Normal or rapid | Rapid, deep (Kussmaul respirations) | Tachypnea | | Odor of breath | Normal | Sweet, fruity (nail polish remover/acetone smell) | No ketone bodies are produced; therefore, there is no fruity odor | | Blood pressure | Low | Normal to low | Hypotension | | Pulse | Rapid, weak | Normal or rapid and full | Rapid, weak | | Level of consciousness | Irritability, confusion, seizure, or coma | Restless merging to coma | Restless merging to coma | | Urine: Sugar | Absent | Present | Present | | Urine: Acetone | Absent | Present | Absent | | Blood glucose level (mg/dL) | <60 | >250 | >600 | | Response to treatment | Immediately after administration of glucose | Gradual, within 6 to 12 hours following medical treatment | |

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