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Hyperglycemia

Hyperglycemias

Hyperglycemia is an abnormally increased content of glucose in the blood.


Presentation

  • CASE REPORT: We present a case of a patient with no known diabetes history who presented with uncontrolled jerky movements of one-half of her body, which resolved with achievement of euglycemia.[ncbi.nlm.nih.gov]
  • In the present study, we present a case in which hyperglycemia preceded torsades de pointes with QT prolongation during refeeding.[ncbi.nlm.nih.gov]
  • Affected patients usually present with metabolic crisis including hypoglycemia, acidosis, ketonuria, and hyperuricemia. A previously healthy 8-month-old male infant presented with fever, vomiting, and hypoactivity.[ncbi.nlm.nih.gov]
  • Abstract We present the case of a 65-year-old man with a pancreatic nonfunctioning neuroendocrine tumor causing main pancreatic duct obstruction that presented as excessive hyperglycemia.[ncbi.nlm.nih.gov]
  • Here, the author presents an interesting case study on a female diabetic patient presenting with hyperglycemic due to intake of crude tamarind herbal pill.[ncbi.nlm.nih.gov]
Fatigue
  • Mild hyperglycemia causes no symptoms, but more severe hyperglycemia causes an increase in urine volume and thirst, fatigue and weakness, and increased susceptibility to infection.[britannica.com]
  • Causes Not enough insulin Too much food or too much sugar in food Illness, infection, stress Less exercise than usual Symptoms Excessive thirst Frequent urination Fatigue Dehydration Headache Irritability Nausea/vomiting Stomachache Fruity odor on the[chp.edu]
  • Signs and symptoms of hyperglycemia include: Increased thirst Blurred vision Frequent urination Increased hunger Numbness or tingling in the feet Additional early symptoms include: Fatigue (feeling weak, tired) Sugar in the urine Weight loss Blood glucose[my.clevelandclinic.org]
Polydipsia
  • CASE PRESENTATION: A 55-year-old, male type-2 diabetic patient with liver cirrhosis stage Child-Pugh B was admitted due to dysmetria of his right arm, gait disturbance, dizziness, vertigo, and polyuria, polydipsia after a binge-eating attack of sweets[ncbi.nlm.nih.gov]
  • Everything you need to know about hyperglycemia How to avoid high blood glucose levels Common Symptoms of Hyperglycemia The Classic Symptoms Polyphagia (frequently hungry) Polyuria (frequently urinating) Polydipsia (frequently thirsty) Other Symptoms[endocrineweb.com]
  • This is referred to as polydipsia. Increased urination, particularly at night, which is referred to as polyuria. Increased hunger and food intake, which is referred to as polyphagia.[news-medical.net]
  • Polydipsia and polyuria occur when blood glucose levels rise high enough to result in excretion of excess glucose via the kidneys, which leads to the presence of glucose in the urine. This produces an osmotic diuresis.[en.wikipedia.org]
Hemianopsia
  • Diverse neurologic symptoms have been described in patients with NKH, including hemichorea, seizure, hemianopsia, and coma, but the pathogenic explanation for these neurologic symptoms remains unclear.[ncbi.nlm.nih.gov]
Polyuria
  • CASE PRESENTATION: A 55-year-old, male type-2 diabetic patient with liver cirrhosis stage Child-Pugh B was admitted due to dysmetria of his right arm, gait disturbance, dizziness, vertigo, and polyuria, polydipsia after a binge-eating attack of sweets[ncbi.nlm.nih.gov]
  • Everything you need to know about hyperglycemia How to avoid high blood glucose levels Common Symptoms of Hyperglycemia The Classic Symptoms Polyphagia (frequently hungry) Polyuria (frequently urinating) Polydipsia (frequently thirsty) Other Symptoms[endocrineweb.com]
  • Increased urination, particularly at night, which is referred to as polyuria. Increased hunger and food intake, which is referred to as polyphagia.[news-medical.net]
  • Polydipsia and polyuria occur when blood glucose levels rise high enough to result in excretion of excess glucose via the kidneys, which leads to the presence of glucose in the urine. This produces an osmotic diuresis.[en.wikipedia.org]
Confusion
  • Hyperglycemia , or high blood sugar (also spelled hyperglycaemia or hyperglycæmia, not to be confused with the opposite disorder, hypoglycemia) is a condition in which an excessive amount of glucose circulates in the blood plasma .[omicsonline.org]
  • Physical signs and symptoms of HHNS include: Severe hyperglycemia (greater than 600 mg/dL) Dry, parched mouth Extreme thirst (which may gradually disappear) Warm, dry skin that does not sweat High fever (greater than 101 degrees F) Sleepiness or confusion[visionaware.org]
  • The only way to be sure of a high blood sugar is to check with a glucose monitor since the symptoms of high blood sugar can sometimes be confused with illness or stress or medication side effects.[diabetesdaily.com]
  • Treatment If untreated, hypoglycemia can lead to confusion, coma or convulsions. Hypoglycemia often comes within minutes. If you have a hypoglycemic reaction, you should treat it immediately by eating some form of carbohydrate (sugar).[healthcentral.com]
Seizure
  • Abstract Seizures related to nonketotic hyperglycemia (NKH) are often encountered in clinical practice. Among such seizures, reflex seizures are rare, and most of them are movement-induced focal seizures.[ncbi.nlm.nih.gov]
  • On the other hand, unlike other metabolic disorders, or hypoglycemia-related generalized seizures, focal motor seizure and epilepsia partialis continua can occur in 25% of NKH, with seizures being the initial manifestation in up to 50% of patients.[ncbi.nlm.nih.gov]
  • BACKGROUND: Nonketotic hyperglycemia often causes seizures.[ncbi.nlm.nih.gov]
  • Diverse neurologic symptoms have been described in patients with NKH, including hemichorea, seizure, hemianopsia, and coma, but the pathogenic explanation for these neurologic symptoms remains unclear.[ncbi.nlm.nih.gov]
  • Clinically it is often preceded by headache, lethargy, and then neurologic deterioration (seizures, coma) with bradycardia and respiratory arrest.[cdemcurriculum.com]
Nystagmus
  • Headache, N/V, fever and lethargy Inflammation Facial: Weakness, numbness & pain Nasal: Pale or gray Necrotizing (black) areas in face Pus drainage Ocular: Fixed pupil Nystagmus Blindness Nerves: Altered mental status Dizziness & unsteady gait Negative[diabetesincontrol.com]
Dysmetria
  • CASE PRESENTATION: A 55-year-old, male type-2 diabetic patient with liver cirrhosis stage Child-Pugh B was admitted due to dysmetria of his right arm, gait disturbance, dizziness, vertigo, and polyuria, polydipsia after a binge-eating attack of sweets[ncbi.nlm.nih.gov]

Workup

  • His metabolic disease workup was compatible with FDPase deficiency. Here, we described a metabolic attack of FDPase deficiency presented with hyperglycemia mimicking diabetic ketoacidosis.[ncbi.nlm.nih.gov]
Hyponatremia
  • We herein report a case of symptomatic hyponatremia and hyperglycemia during hysteroscopic resection of severe intrauterine adhesion with 5% dextrose in water as the distension medium.[ncbi.nlm.nih.gov]
  • In retrospect, the mild hyponatremia on admission was classified as pseudohyponatremia due to hyperglycemia.[ncbi.nlm.nih.gov]
  • In addition patients have increased blood glucose and white blood cell count, hyponatremia, elevated or normal potassium concentrations and increased osmolarity.[clinicaladvisor.com]
Torsades De Pointes
  • However, after 38 h, an episode of marked QT prolongation (QTc 0.931) followed by torsades de pointes developed.[ncbi.nlm.nih.gov]

Treatment

  • This review considers the frequency, pathogenesis and treatment of drug-induced diabetes.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: The critical burn patient developed a series of severe complications during the course of treatment. Correct management of these complications is crucial to success in the treatment of such patients.[ncbi.nlm.nih.gov]
  • We here present the case of a patient that developed hyperglycemia after systemic and intratympanic dexamethasone treatment for sudden hearing loss. We conclude that after intratympanic treatment great caution must be taken.[ncbi.nlm.nih.gov]
  • Hypertonic saline, diuretics, insulin, and liquid restriction were the prevailing treatment strategies for hyponatremia and hyperglycemia. Ionized calcium and potassium levels decreased during treatment.[ncbi.nlm.nih.gov]
  • However, fetal genotype is not usually known antenatally, making treatment decisions difficult.[ncbi.nlm.nih.gov]

Prognosis

  • BACKGROUND: The predictive roles of diabetes in the prognosis of many types of cancer have been well studied, but its role in predicting the prognosis of cervical cancer is still controversial.[ncbi.nlm.nih.gov]
  • Appropriate glucose control goals should take into consideration the cancer prognosis.[healio.com]
  • Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients: a systematic overview. Stroke . 2001; 32 : 2426–2432. Crossref Medline Google Scholar 13 Scott JF, Robinson GM, French JM, O’Connell JE, Alberti KG, Gray CS.[ahajournals.org]
  • Stress hyperglycemia and prognosis of stroke in nondiabetic and diabetic patients: a systematic overview. Stroke. 2001; 32 : 2426–2432. Crossref Medline Google Scholar 13 Scott JF, Robinson GM, French JM, O’Connell JE, Alberti KG, Gray CS.[stroke.ahajournals.org]
  • Prognosis The prognosis for children with mild to moderate hyperglycemia is good; the condition can usually be corrected within 24 hours.[encyclopedia.com]

Etiology

  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • In patients suspected of having DKA or HHS, additional tests should be obtained: Basic metabolic profile Complete blood count (often obtained when suspicious for an infectious etiology, sensitive, not specific) Blood gas determination (venous blood gas[cdemcurriculum.com]

Epidemiology

  • Source: Journal of the American College of Cardiology Posted in: Medical Science News Medical Condition News Tags: Atherosclerosis , Blood , Blood Sugar , Cardiology , Coronary Disease , Coronary Heart Disease , Diabetes , Epidemiology , Glucose , Glycated[news-medical.net]
  • A significant part of the review is devoted to the discussion of the large body of epidemiological evidence that confirms an association between hyperglycemia and mortality following myocardial infarction.[acutecaretesting.org]
  • Epidemiology Hyperglycemia is associated with worse outcomes in ICU patients. Diabetes patients may present with hyperglycemic crisis. Hyperglycemia: 1.[clinicaladvisor.com]
  • DECODE Study Group, the European Diabetes Epidemiology Group (2001) Glucose tolerance and cardiovascular mortality: comparison of fasting and 2-hour diagnostic criteria. Arch Intern Med 161:397–405 CrossRef Google Scholar 2.[link.springer.com]
Sex distribution
Age distribution

Pathophysiology

  • Author information 1 Department of Pathophysiology, Harbin Medical University, Harbin 150081, China. drlihong1971@163.com. 2 Department of Pathophysiology, Harbin Medical University, Harbin 150081, China. xucq45@126.com. 3 Department of Pathophysiology[ncbi.nlm.nih.gov]
  • Review of the current data suggests there are two distinct pathophysiologic entities of hyperglycemia in acute ischemic stroke patients: diabetic and non-diabetic.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Pathophysiology, Faculty of Pharmacy, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Skłodowskiej-Curie Street No 9, 85-094, Bydgoszcz, Poland. krzyg@cm.umk.pl. 2 Department of Laserotherapy[ncbi.nlm.nih.gov]
  • Pathophysiology is not known yet. MRI features tend to be hyperintense in the putamen on T1-weighted images.[ncbi.nlm.nih.gov]
  • Pathophysiology remains unknown. In reported cases, hyperglycemia was treated by insulin therapy and reducing glucose intravenous infusion, with fatal outcome. In our patient glycemia spontaneously normalized after treatment of the metabolic crisis.[ncbi.nlm.nih.gov]

Prevention

  • Furthermore, the AR inhibitor fidarestat prevented the expression of NLRP inflammasome components in STZ-induced diabetic mouse heart and aorta, and also prevented the release of various cytokines in the serum.[ncbi.nlm.nih.gov]
  • Annual physical examination didn't show a positive effect in the prevention of hypercholesterolemia and hyperglycemia. Health education should be improved to ensure the fulfillment of the preventive objective of yearly physical examination.[ncbi.nlm.nih.gov]
  • There is some controversy regarding the most efficient route but in order to prevent side effects, intratympanic treatment is the preferred choice, especially in diabetic patients.[ncbi.nlm.nih.gov]
  • We emphasize the importance of prevention, recognition, and a meticulous perioperative treatment standard. Surgical teams must be vigilant in fluid deficit monitoring and serum electrolyte analysis.[ncbi.nlm.nih.gov]
  • Both avoidance of Mah-Jong playing and control of glucose intake help prevent this disorder. Copyright 2010 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]

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Last updated: 2018-06-22 12:21