Endocrine Hyperthyroidism
May 17, 2025Endocrine Adrenalitis
May 18, 2025Endocrine
Diabetes Mellitus
Diabetes Mellitus - Normal
- Fasting glucose ≥126mg/dL
- OR random glucose ≥200mg/dL
Evaluation
-Screen for new-onset diabetes
-Or worsening of pre-existing diabetes
Assessment and Investigations
- Repeat fasting glycemia within one week
Management
- Subcutaneous Insulin therapy
-Continue ICPI once adequate glycemic control
Diabetes Mellitus - Severe
- Polyuria/polydipsia, fatigue, weight loss, dehydration, hypotension, nausea, vomiting or abdominal pain, confusion
- Random glucose ≥200mg/dL AND ketone bodies with high-anion gap metabolic acidosis
Evaluation
-Fulminant diabetes mellitus, with or without diabetic ketoacidosis
-Rule out sepsis, adrenal insufficiency
Assessment and Investigations
-Urea & Electrolytes/CRP/Full Blood Count
- Ketones on capillary blood, urine or blood
- Random serum cortisol/ACTH
- Cultures, imaging as indicated
Management
- ICPI can be resumed when glycemia and general status has recovered
-Intravenous hydration, correction of electrolytes
- Intravenous Insulin therapy