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Disturbances Before and After Treatment

WILLIAM H. DAUGHADAY, M.D.

Arch Intern Med. 1961;107(1):63-68.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The basic disturbances of diabetic acidosis and its treatment are the same at all ages. To be sure, fluid and electrolyte deficits tend to develop more rapidly and progress further in children. Fortunately, young patients possess greater reserve of cardiac, pulmonary, and renal function than is found in the diabetic patients who enter our medical wards in coma. All too frequently our patients combine diabetic acidosis with severe crippling complications such as senility, advanced arteriosclerosis, pancreatitis, renal papillary necrosis, and alcoholism. It is the frequency of complicated cases which determines the survival rate in the better clinics.

I will not review the practical aspects of insulin, fluid, electrolyte, and carbohydrate therapy. Give or take 10 or 15 mEq/liter, there is increasing agreement among the students of the disease. The need for initial rapid restoration of extracellular fluid volume followed by sustaining fluids which are hypotonic, to provide needed water, and . . . [Full Text PDF of this Article]

Author Affiliations
ST. LOUIS

Metabolism Division, Department of Medicine, Washington University School of Medicine.

Footnotes
Submitted May 27, 1960.

Presented at the First Ames Symposium on Ketosis, Presbyterian-St. Luke's Hospital, Chicago, March 2, 1960.

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