What are the odds of surviving a diabetic coma?

Question

If someone is in a diabetic coma, what are the survival rates?

Answer 1

There are many factors in that scenario: how quickly were they diagnosed and treated, their overall health, responses to medications, among other things.

If these are all positive, chances are good that a person will recover from the coma.

As a nurse, I have seen patients come out of diabetic comas, but if their health is poor to begin with, chances are worsened.

Answer 2

Diabetic Coma Treatment

Answer 3

I assume you mean hypoglycemic coma, as in too much insulin or not enough food. There's no firm figure for recovery probability, for there's no average case of coma. Best to avoid it by paying the necessary attention to food, exercise, medication and the timing of each, together with your own individual reactions to it all.

Better chances of a good recovery if:

the glucose levels didn't go too low -- how long varies with the person, but generally any blood glucose level below about 40 or so is very dangerous

treatment was started quickly enough -- by the time you are in coma, ie unconscious, the hypoglycemia is pretty severe. If it weren't you wouldn't be unconscious.

the coma didn't last too long. -- this interacts with how low the glucose levels went. Usually, anything longer than a few minutes is not good. And the longer the coma lasts the greater the chance of poor recovery.

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Not so good chances of a full recovery if:

really low blood glucose levels -- when food is absent for a while (a day or two) the body begins to adjust, even diabetics. Metabolism changes so the lack of /carbohydrate/glucose in the diet isn't immediately fatal. A diabetic coma is typically caused by too much insulin for the food eaten (this is the coverage idea), or a combination of that and too much exercise. It comes on fast, and there isn't enough time to adjust metabolism to the starvation setting.

too long without effective treatment -- the brain is picky about what it can use as fuel, and it doesn't store any internally. it uses glucose if available, but can switch ot other fuels (eg, ketone bodies) in the case of starvation. But until that adjustment happens, the brain will be on glucose. If the glucose stops, the brain will slow down or stop and that's why you went into coma. The longer a brain cell stays without fuel, the more likely it will die. And enough dead brain cells will lead to brain damage or death.

the coma lasts too ong -- even if the glucose level doesn't go so low as to damage / kill brain cells, coma is not a good thing. If nothing else, bed sores can develop after a couple of days without proper care. Other chronic problems are possible too. Perhaps infection is the most important for, if you're unconscious, an infection has more chance to spread before being noticed.

Answer 4

1

Answer 5

Diabetic Coma Prognosis

Answer 6

2

Answer 7

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RE:
What are the odds of surviving a diabetic coma?
If someone is in a diabetic coma, what are the survival rates?

Answer 8

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