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Published on: January 26, 2024
Diabetic hyperosmolarity: a consequence of loss of autonomy
1Faculté de Médecine de Tours, Université François-Rabelais, F-37032 Tours Cedex 1, France. t.constans@chu-tours.fr
Abstract:
Diabetic hyperosmolarity is a serious acute metabolic disorder mainly occurring in the frail elderly subject presenting age-related favoring factors (reduced sensation of thirst, altered endocrine regulation), disease-related favoring factors (cognitive impairment, poor nutritional status and/or loss of autonomy), and a triggering factor, generally infection. Diabetic hyperosmolarity can occur in a previously non-diabetic patient. Intense dehydration dominants the clinical picture. The prognosis depends largely on the underlying chronic disease.
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