RT Book, Section A1 Masharani, Umesh A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1193133219 T1 Diabetic Coma T2 Current Medical Diagnosis & Treatment 2023 YR 2023 FD 2023 PB McGraw-Hill Education PP New York, NY SN 9781264687343 LK accessmedicine.mhmedical.com/content.aspx?aid=1193133219 RD 2024/10/11 AB Coma may be due to causes not directly related to diabetes. Diabetic coma requires differentiation (Table 27–10): (1) Hypoglycemic coma from excessive insulin or oral hypoglycemic agents. (2) Hyperglycemic coma with either severe insulin deficiency (DKA) or mild to moderate insulin deficiency (hyperglycemic hyperosmolar state). (3) Lactic acidosis, particularly when patients with diabetes have severe infections or cardiovascular collapse.