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Article
July 2, 1932

DIABETIC COMA WITH BLOOD SUGARS ABOVE ONE THOUSAND MILLIGRAMS: REPORT OF THREE CASES WITH RECOVERY FOLLOWING TREATMENT

Author Affiliations

Philadelphia

From the Division of Metabolic Diseases, Philadelphia General Hospital.

JAMA. 1932;99(1):24-25. doi:10.1001/jama.1932.27410530004007a
Abstract

A case of diabetic coma with a blood sugar of 900 mg. per hundred cubic centimeters of blood was reported recently by Gray and Sansum.1 Attention was drawn to the relatively few cases that have been reported in which recovery followed such a marked hyperglycemia. They were able to find only three cases besides their own. There can be no doubt that such cases are rare, but we feel that if all the unreported cases were collected the number would be somewhat increased. We here report three cases that were successfully treated in the metabolic ward of the Philadelphia General Hospital during the past five years.

Case 1.  —M. M., a woman, aged 58, white, was admitted in coma, with no history of diabetes. Members of the family stated that in the past six months she had lost 40 pounds (18 Kg.), in spite of a voracious appetite, and

References
1.
Gray, P. A., and Sansum, W. D.:  Diabetic Coma with Marked Hyperglycemia and Recovery ,  J. A. M. A. 97:230 ( (July 25) ) 1931.Crossref
2.
This procedure has been discontinued for the past two years, owing to an unfortunate slough which resulted from the conversion of sodium bicarbonate to sodium carbonate in the process of sterilization. At present sodium bicarbonate is given through a "Levin gastroduodenal" tube, which is left in place during the entire treatment of coma.
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