Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
- Type I DM: No insulin produced
- Type II DM pts under large stresses that ↑ insulin demand
Relative Insulin deficit:
- inadequate production, insulin resistance, non-adherence to insulin TX, stresses ↑ Insulin demand: infections, food binges, etc
Hyperglycemia → Glucosuria → Polyuria → Dehydration → Electrolyte imbalance → Polydipsia
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