Téma: Overview works

Acute complications in connection with diabetes mellitus

Zbynek Schroner

At present the main attention in the care of diabetic patients is mainly focused on the prevention and treatment of chronic complications of diabetes mellitus.Acute complications are not at all the past. Causes of their origin, clinical presentation and methods of treatment marked significant changes. Acute complications of diabetes mellitus can be divided into: metabolic decompensations and complications of antidiabetic treatment. To metabolic decompensations belong acute hyperglycemic states (diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic state). Diabetic ketoacidosis is acute metabolic emergency mainly of typ 1 diabetes mellitus. It is characterised by: hyperglycemia, acidosis and ketosis. Hyperglycemic hyperosmolar nonketotic state is acute complication mainly of type 2 diabetes mellitus. The ketoacidosis is not present, what is explained by higher intraportal insulin level, preventing mobilisation of free fatty acids. Lactic acidosis is the most serious complication of metformin therapy mainly in patients having risk factors. For this reason it is necessary to observe contraindications of metformin therapy. Hypoglycemias are the most frequent acute complications mainly in diabetics treated by insulin or sulphonylurea derivatives.

Ročník 2006  Témy časopisu Internal medicine 12 / 2006

CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ivica Lazúrová, CSc. FRCP

REPRESENTATIVE OF CHAIRMAN
prof. MUDr. Juraj Payer, CSc., FRCP

MEMBERS OF THE EDITORIAL BOARD
doc. MUDr. Viera Fábryová, CSc.
MUDr. Viera Fedelešová, CSc.
prof. MUDr Martin Haluzík, CSc.
prof. MUDr. Štefan Hrušovský, CSc. Dr.SVS.
prof. MUDr. Rudolf Hyrdel, CSc.
doc. MUDr. Oľga Jurkovičová, CSc.
doc. MUDr. Zdenko Killinger, PhD.
doc. MUDr. Soňa Kiňová, PhD.
prof. MUDr. Peter Mitro, PhD.
doc. MUDr. Viliam Mojto, CSc., MHA
prof. MUDr. Karel Pacák, DrSc.
prof. MUDr. Juraj Payer, CSc., FRCP
doc. MUDr. Ján Podoba, CSc.
prof. MUDr. Igor Riečanský, DrSc.
doc. MUDr. Ján Staško, PhD.
doc. MUDr. Mária Szántová, PhD.
prof. MUDr. Ivan Tkáč, PhD.

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2. Summary - concise content summary in the extent maximum 10 lines (only at overview papers, case studies and Appendices - General Medicine). Write in 1st or 3rd person singular or plural (unify according the type of an article).

3. Key words - in the extent of 3-6 (only for overview papers and Appendices - General Medicine). 4. English translation: paper title, summary, key words (only at overview papers, and Appendices - General Medicine)

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6. Bibliography
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Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett ́ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285(4): 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
5. Osborne BE. The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.

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b. Scandinavian origin
c. propionibacterium acnes
d. endothelial growth factor


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