Q: How volume expansion works in Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)?
Answer:
Volume expansion causes fall in serum glucose primarily via 2 mechanisms.
1) dilution, and
2) Urinary loss as renal perfusion improved
Just volume repletion alone (without insulin) can reduce the serum glucose by 35 to 70 mg/dL per hour.
Answer:
Volume expansion causes fall in serum glucose primarily via 2 mechanisms.
1) dilution, and
2) Urinary loss as renal perfusion improved
Just volume repletion alone (without insulin) can reduce the serum glucose by 35 to 70 mg/dL per hour.
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