Diabetes mellitus (main): Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
{{Hyperglycemia DDX}}
{{Hyperglycemia DDX}}
*In established diabetics presenting with hyperglycemia ask about medication and dietary compliance
==Evaluation==
Workup based on provider level of suspicion for emergent process such as DKA, HHS, sepsis
*In asymptomatic patient may consider UA to check for ketones
*Sick patients will require CBC, BMP, blood gas, EKG, additional tests at provider discretion
==Management==
*May consider IV hydration or IV insulin administered in the ED 
*All patients with diabetes newly diagnosed in the ED will require reliable follow-up for education and blood sugar monitoring
*May consider discharging patient with prescription for metformin, starting dose is 850 mg daily


==See Also==
==See Also==

Revision as of 18:30, 11 October 2018

Background

  • Growing in worldwide prevalence
  • Results from either inability of the body to release insulin from the pancreas or a resistance against the actions of insulin

Differential Diagnosis

Hyperglycemia

Evaluation

Workup based on provider level of suspicion for emergent process such as DKA, HHS, sepsis

  • In asymptomatic patient may consider UA to check for ketones
  • Sick patients will require CBC, BMP, blood gas, EKG, additional tests at provider discretion

Management

  • May consider IV hydration or IV insulin administered in the ED
  • All patients with diabetes newly diagnosed in the ED will require reliable follow-up for education and blood sugar monitoring
  • May consider discharging patient with prescription for metformin, starting dose is 850 mg daily

See Also