The aim of treatment of a severe hyperglycemic decompensation can be summarized as follows:
■ Substitution of fluid electrolyte loss
■ Re-compensation of normal carbohydrate and lipid metabolism
■ Treatment of the underlying cause
■ Management of specific complications
The diagnosis of coma diabeticum must lead to an immediate hospitalization of the patient. In severe forms the medical treatments must be performed on an intensive or at least intermediate care unit.
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