This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

ARTHUR R. COLWELL, M.D.

AMA Arch Intern Med. 1957;99(2):260-265.

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

Effective treatment of diabetic acidosis is based on three important prerequisites: 1. systematic efforts at prevention; 2. accuracy of diagnosis; 3. correct appraisal of severity.

Prevention succeeds when both patient and physician are aware of the causes of acidosis and avoid them. Some of the most common are omission or delay in daily insulin administration; reduction in insulin dosage because food cannot be taken during illness; increased insulin need during acute infection and trauma; failure to test urine for ketones when heavy glycosuria exists; disdain toward warning symptoms, especially thirst, polyuria and nausea; complacent attitudes toward poor routine control of diabetes.

Precise diagnosis often reveals a cause for acute illness in diabetes other than acidosis, even when glycosuria with some ketonemia, ketonuria, and lowered alkali reserve are present. A diabetic in coma is not necessarily in diabetic coma. Some of the sources of confusion are insulin shock; cerebral trauma, hemorrhage, . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

From the Department of Medicine, Northwestern University Medical School and Passavant Memorial Hospital.

Footnotes
Submitted for publication Sept. 20, 1956.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?