The document discusses point of care testing for diabetes. It compares diabetic ketoacidosis (DKA) and hyperosmolar hyperglycaemic syndrome (HHS), noting that DKA has a short term onset and frequently has an osmolarity over 320mOsm/kg, significant hyperketones/acidosis, and modest hyperglycaemia primarily in type 1 diabetes patients, with a 5% mortality rate. HHS has a long term onset and frequently has an osmolarity under 320mOsm/kg, no or low ketones/acidosis, severe hyperglycaemia primarily in type 2 diabetes patients, with a higher 30% mortality rate. It also discusses calculating and
The document discusses point of care testing for diabetes. It compares diabetic ketoacidosis (DKA) and hyperosmolar hyperglycaemic syndrome (HHS), noting that DKA has a short term onset and frequently has an osmolarity over 320mOsm/kg, significant hyperketones/acidosis, and modest hyperglycaemia primarily in type 1 diabetes patients, with a 5% mortality rate. HHS has a long term onset and frequently has an osmolarity under 320mOsm/kg, no or low ketones/acidosis, severe hyperglycaemia primarily in type 2 diabetes patients, with a higher 30% mortality rate. It also discusses calculating and
The document discusses point of care testing for diabetes. It compares diabetic ketoacidosis (DKA) and hyperosmolar hyperglycaemic syndrome (HHS), noting that DKA has a short term onset and frequently has an osmolarity over 320mOsm/kg, significant hyperketones/acidosis, and modest hyperglycaemia primarily in type 1 diabetes patients, with a 5% mortality rate. HHS has a long term onset and frequently has an osmolarity under 320mOsm/kg, no or low ketones/acidosis, severe hyperglycaemia primarily in type 2 diabetes patients, with a higher 30% mortality rate. It also discusses calculating and
PoCT 1. Carry out analysis of urine samples A and B (Diabetes Mellitus) 2. Determine osmolar gap 3. Investigate Diabetes Insipidus 4. Online Assignment 4 PoCT PoCT COMPARISON OF DKA AND HHS Sign Diabetic Hyperosmolar Ketoacidosis hyperglycaemic syndrome Timescale short term long term onset Osmolarity rarely > 320mOsm/kg frequently < 320mOsm/kg
Ketones/acidosis Significant hyper - None or low
Hyperglycaemia Modest Severe T1D v T2D T1D T2D Mortality 5% 30% PoCT PoCT 2. Osmolar Gap - difference between calculated and measured • calculated = determine from sodium, glucose and urea concentrations • measured by osmolarity • should be equal ! • what can cause osmolar gap ? PoCT PoCT Self Study and Assignment 4 PoCT Self Study and Assignment 4