[bjs54321]

Get a pump and the days of your "brittleness" will go away. Good luck!

[bjs54321]

Sorry to miss lead you, brittle diabetes is diabetes insipidus. No DDAVP for type 1 needed. I was bringing up miss leading information to stimulate the conversation. Whoops, forgive me.

Originally Posted by lsyorke

This is a new one on me... and hubby is type I for 46 years. I've never heard of this being given to DM patients, only Diabetes Insipidus.Do you have any studies for this use?

[bjs54321]

We can also discuss the difference between DKA and HNKC.

DKA-diabetic ketoacidosis
HNKC-Hyperosmolar Nonketotic Coma Syndrome

[grannynurse FNP student]

Originally Posted by bjs54321

We can also discuss the difference between DKA and HNKC.

DKA-diabetic ketoacidosis
HNKC-Hyperosmolar Nonketotic Coma Syndrome

Do you really want to?

Grannynurse

[bjs54321]

Oh yes. Let's do...Maybe I can learn something..and maybe someone else will too. Are you da teach? I am ready!

Originally Posted by grannynurse FNP student

Do you really want to?

Grannynurse

[grannynurse FNP student]

Originally Posted by bjs54321

We can also discuss the difference between DKA and HNKC.

DKA-diabetic ketoacidosis
HNKC-Hyperosmolar Nonketotic Coma Syndrome

I know HNKC as HHS

HHS usually occurs in older, obese individuals with Type 2, who may have dminished renal fuction, infections, urinary tract infection and sepsis are the most common prexipitating factors. Others may include inadequate adherence to one's insulin regimen and a new diagnosis of diabetes. It can also be triggered by an MI, stroke, pregnancy, surgery, acute pancreatitis and medications that have a hyperglycemic effect. It takes days, even weeks to fully develop. Patients do not generally show symptoms until glucose levels (600mg to over 1000mgs) become dangerously high. The S & S reflect dehydration, altered carbohydrate, lipid and protein metabolism. They inlude thirst, tachycardia, polyuria, fatigue, weight loss, reduced sskin elestacity, and blurred vision. Also an altered mental status. Serum and urine ketones are absent or in trace amounts. Untreated it can lead to coma and death.

DKA

Often seen in children and patients under 38 because they have Type 1. Tend to develop more rapidly, within 24 hours, accumulation of ketone bodies and they develop symptoms sooner after blood sugar level goes above 250mg. S & S are similar but because it includes metabolic acidosis, they tend to have nausea and vomiting, localized abdominal pain-due to K depletion and fruity bereath from ketones. Serium and urine ketones present.

Grannynurse

[cassilee30]

Originally Posted by bjs54321

Sorry to miss lead you, brittle diabetes is diabetes insipidus. No DDAVP for type 1 needed. I was bringing up miss leading information to stimulate the conversation. Whoops, forgive me.

I have never heard the term brittle diabetes for DI...it has always, in my tons of visits to endocrinologists and doctors and camps and seminars, been used to describe a type 1 diabetic who has blood sugars that swing easily and without apparent reason...or who is hard to control.

Interesting.
Cassi

[zacarias]

DKA folks who aren't treated can get life-threatening hyperkalemia...

[caroladybelle]

Brittle Diabetes is the term used for very unstable diabetes mellitus, in my parts of the Country.

Diabetes Insipidus is a very different animal.

Perhaps the OP could clarify?

[oldnurse newnurse]

Originally Posted by grannynurse FNP student

I know HNKC as HHS

HHS usually occurs in older, obese individuals with Type 2, who may have dminished renal fuction, infections, urinary tract infection and sepsis are the most common prexipitating factors. Others may include inadequate adherence to one's insulin regimen and a new diagnosis of diabetes. It can also be triggered by an MI, stroke, pregnancy, surgery, acute pancreatitis and medications that have a hyperglycemic effect. It takes days, even weeks to fully develop. Patients do not generally show symptoms until glucose levels (600mg to over 1000mgs) become dangerously high. The S & S reflect dehydration, altered carbohydrate, lipid and protein metabolism. They inlude thirst, tachycardia, polyuria, fatigue, weight loss, reduced sskin elestacity, and blurred vision. Also an altered mental status. Serum and urine ketones are absent or in trace amounts. Untreated it can lead to coma and death.

DKA

Often seen in children and patients under 38 because they have Type 1. Tend to develop more rapidly, within 24 hours, accumulation of ketone bodies and they develop symptoms sooner after blood sugar level goes above 250mg. S & S are similar but because it includes metabolic acidosis, they tend to have nausea and vomiting, localized abdominal pain-due to K depletion and fruity bereath from ketones. Serium and urine ketones present.

Grannynurse

PLEASE DO NOT FORGET SEVERE ABDOMINAL PAIN THIS PAIN WILL MAKE A PERSON I AM TYPE 1 AND DKA IS NO FUN.