Precipitating Factors

Unless related to omission of insulin therapy, DKA is usually precipitated by coexisting illness. The most common factor is infection ranging from trivial viral infections to full-blown septicaemia. Other precipitating factors are cardiovascular events (myocardial infarction, stroke), gastrointestinal disease, inflammatory diseases, pancreatitis, trauma and major surgery, alcohol abuse and drugs (e.g. glucocorticoids). All of these factors induce insulin resistance due to stress hormone responses. Furthermore, poor appetite and food deprivation will often lead the patient to take less insulin, erroneously of course. In this context gastrointestinal disease with nausea and vomiting poses a specific problem and it may be necessary to admit such patients to hospital for intravenous glucose and insulin therapy.

Psychological factors also play an important role. Poor compliance is commonly seen in younger patients, patients with psychiatric illnesses and in minority groups with poor understanding of diabetes care principles for linguistic or cultural reasons.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

Get My Free Ebook


Post a comment