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Diabetic Coma is a condition caused by extremely high blood sugar levels and low insulin production.


All incidents of Diabetic Coma should be evaluated by a trained medical professional, as soon as possible! DO NOT wait! Failure to obtain evaluation as soon as possible may result in serious injury or death. Call 911 (or your local emergency number) immediately, if you undergo a Diabetic Coma.

What is Diabetic Coma?

  • Diabetic Coma is a condition caused by extremely high blood sugar levels and low insulin production
  • The condition is a medical emergency and prompt treatment is important

What are the Causes of Diabetic Coma?

The cause of Diabetic Coma may include:

  • Excessive sugar or carbohydrate intake
  • Skipped diabetes medication/insulin shot
  • Very low blood glucose levels

What are the Signs and Symptoms of Diabetic Coma?

The onset of signs and symptoms of Diabetic Coma is generally spread over a prolonged period. It may include the following:

  • Increased thirst
  • Increased urination frequency
  • Dehydration
  • Drowsiness, confusion or irritation
  • Increased breathing rate
  • Sweet-smelling breath
  • Loss of consciousness

How is First Aid administered for Diabetic Coma?

First Aid tips for Diabetic Coma:

  • Call 911 or your local emergency help number immediately, for emergency assistance
  • Try to assess, if the individual has taken their diabetes medication after a meal
  • Ensure that the affected individual is lying in a position (lying straight) that can help easy breathing
  • DO NOT give anything by way of mouth
  • DO NOT administer an insulin shot
  • Administer CPR, if the individual is in respiratory distress

The first responders (healthcare personnel) may administer 1 mg of glucagon, in case of hypoglycemia (or low blood sugar levels).

Who should administer First Aid for Diabetic Coma?

  • Any individual near the affected person should call 911 (or the local emergency help number) and immediately administer first aid
  • First Aid is generally administered by healthcare workers at the emergency room

What is the Prognosis of Diabetic Coma?

The prognosis of Diabetic Coma is dependent on the following factors:

  • How high the blood sugar level was
  • How long the condition persisted
  • And, the timely manner in which treatment was administered

In case of delayed treatment, there is a risk for permanent brain injury due to loss of oxygen supply to the brain.

How can Diabetic Coma be Prevented?

Diabetic Coma may be prevented by:

  • Following regular and disciplined eating habits
  • Taking diabetes medication regularly
  • Holding periodic diabetic review sessions with your healthcare provider

What are certain Crucial Steps to be followed?

Call 911 (or your local emergency number) for emergency assistance, immediately.

What are some Useful Resources for Additional Information?

American Diabetes Association
1701 North Beauregard St. Alexandria, VA 22311
Phone: (800) 342-2383
Email: AskADA@diabetes.org
Website: http://www.diabetes.org

References and Information Sources used for the Article:

http://www.mayoclinic.org/diseases-conditions/diabetic-coma/basics/definition/con-20025691 (accessed on 07/20/2017)

http://www.survival-center.com/firstaid/diabetic.htm (accessed on 07/20/2017)

http://www.diabetes.co.uk/diabetes-complications/diabetic-coma.html (accessed on 07/20/2017)

http://www.cpr-pro.com/fa_medical_conditions.html (accessed on 07/20/2017)

Helpful Peer-Reviewed Medical Articles:

Obiako, O. R., Oparah, S., & Ogunniyi, A. (2011). Causes of medical coma in adult patients at the university college hospital, ibadan Nigeria. The Nigerian postgraduate medical journal, 18(1), 1-7.

Rosenbloom, A. L. (2010). Hyperglycemic hyperosmolar state: an emerging pediatric problem. The Journal of pediatrics, 156(2), 180-184.

Ahuja, N., Palanichamy, N., Mackin, P., & Lloyd, A. J. (2010). Olanzapine-induced hyperglycaemic coma and neuroleptic malignant syndrome: case report and review of literature. Journal of Psychopharmacology, 24(1), 125-130.

Barski, L., Kezerle, L., Zeller, L., Zektser, M., & Jotkowitz, A. (2013). New approaches to the use of insulin in patients with diabetic ketoacidosis. European journal of internal medicine, 24(3), 213-216.

Sharma, R., Yasir, M., & Gupta, A. (2010). Formulation and Evaluation of Fast Disintegrating Sublingual Tablets of Glipizide: An Attempt to Treat Diabetic Coma. ITS College of Pharmacy, Muradnagar, Ghaziabad, UP, 201204.

Yilmaz, T., Cordero‐Coma, M., Gallagher, M. J., & Teasley, L. A. (2011). Systematic review of intravitreal bevacizumab injection for treatment of primary diabetic macular oedema. Acta ophthalmologica, 89(8), 709-717.

Zhou, C., Gilbert, J. D., & Byard, R. W. (2010). Early diagnosis of Armanni–Ebstein phenomenon at autopsy. Forensic science, medicine, and pathology, 6(2), 133-134.

Zhou, C., & Byard, R. W. (2012). Basal renal tubular epithelial cell vacuolization and alcoholic ketoacidosis. Journal of forensic sciences, 57(1), 126-128.