The Filipino Family Physician 2010;48(1):25-31

Hyperglycemic hyperosmolar nonketotic state: One end of the spectrum (A case discussion)

Lacuna-Alip Myrissa

Country

Philippines

Language

English

Abstract

Conclusion: The patient followed up in good spirits. CBG was being monitored daily. Adherence to diet as well as lifestyle modification (stopped his alcohol intake and lessened meat intake) was remarkable. Laboratory results especially blood sugar control reached and exceeded target levels. The patient's proteinuria was fiurther evaluated. Twenty-four hour urine collection showed protein spillage but renal function was good. The plan is for continuous monitoring of this parameter. The patient's insulin (premixed 70/30) dose from an initial dose of 20-10 was adjusted until a maximum of 40-24 then reduced gradually. His present dose is 8-4.