Electrolyte Disturbances in Patients with Diabetes Mellitus

  title={Electrolyte Disturbances in Patients with Diabetes Mellitus},
  author={S Khanduker and Ramsha Ahmed and F Khondker and A Aharama and N Afrose and M. R. H. Chowdhury},
Diabetic patients frequently develop a constellation of electrolyte disorders. These derangement results from insulin deficiency, hyperglycemia and hyperketonemia. Hyperglycemia sets the internal environment for osmotic diuresis while causing a dilutional effect on electrolyte concentrations.The osmotic effect of glucose results in decreased circulating blood volume and fluid shift from the intracellular spaces causing cellular dehydration. These disturbances are particularly common in… 

Evaluation of serum electrolytes and their relation to glycemic status in patients with T2DM

The present study showed an alteration in electrolytes status, but there was no statistically significant association between fasting blood glucose, glycemic control and serum electrolytes consideration of the multifactorial origin of electrolyte imbalance.

Troubles Electrolytiques chez les Patients Atteints de Diabète Vivant à Bamako, Mali

It is shown that diabetic patients are more prone to develop electrolyte imbalances than non-diabetic patients.

Effect of Cucumis sativus and Prunus armeniaca Juices on Blood Glucose, Insulin and Electrolytes of Alloxan Induced Diabetic Male Sprague Dawley Rats

Cucumber juice therefore improved diabetic condition in diabetic male Sprague Dawley rats and a combination of apricot and cucumber juices boosted potassium level in diabetic rats.



Diabetes mellitus and electrolyte disorders.

An overview of the electrolyte disturbances occurring in DM is provided and the underlying mechanisms are described, paving the way for pathophysiology-directed therapy, thus contributing to the avoidance of the several deleterious effects associated with electrolyte disorders and their treatment.

Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state.

Clinical diagnosis is based on the finding of dehydration along with high capillary glucose levels with or without ketones in the urine or plasma, which is confirmed by the blood pH, serum bicarbonate level and serum osmolality.

Vasopressin and Diabetes mellitus

It is suggested that plasma vasopressin plays a crucial role in the onset and aggravation of the renal complications of DM.

Abnormalities of serum potassium concentration in dialysis-associated hyperglycemia and their correction with insulin: a unique clinical/physiologic exercise in internal potassium balance

The lessons from analyzing serum K+ changes during treatment of DH with insulin are applicable to other conditions where internal potassium balance is called upon to protect serum K+, such as the postprandial state.

Electrolyte disorders following massive insulin overdose in a patient with type 2 diabetes.

A 47-year-old man with Type 2 diabetes mellitus who attempted suicide with 2,100 U of insulin injected subcutaneously was presented, and Electrolyte disorders other than hypokalemia may be induced in hypoglycemic patients by massive insulin overdose.

Determinants of Plasma Potassium Levels in Diabetic Ketoacidosis

Results indicate that the endogenous ketoacidemia and hyperglycemia observed in DKA, which result primarily from insulin deficit, are the main determinants of increased [K+]p.

Hyperglycemic Crises in Adult Patients With Diabetes

This consensus statement will outline precipitating factors and recommendations for the diagnosis, treatment, and prevention of DKA and HHS in adult subjects based on a previous technical review and more recently published peer-reviewed articles since 2001.

Pattern of Electrolyte Imbalance in Hospitalized Diabetic Patients: Experience in a Tertiary Care Hospital

Serum electrolytes should be checked routinely in hospitalized diabetic patients irrespective of their purpose of admission, it can be concluded that, electrolyte imbalance is common in hospitalised diabetic patients.

Diabetic ketoacidosis: new concepts and trends in pathogenesis and treatment.

Most patients with diabetic ketoacidosis will respond to low-dose, hourly, intravenous or intramuscular regular insulin and have fewer associated complications of hypoglycemia and hypokalemia.