Outpatient Management of Diabetes and Acute Illness

Nisa Maruthur, M.D., M.H.S.


  • Acute changes in medical condition that can cause either hyperglycemia (including diabetic ketoacidosis [DKA] and hyperosmolar hyperglycemic state [HHS]) or hypoglycemia.
  • Hyperglycemia may be due to stress of illness, failure to take adequate insulin or other diabetic medication, dehydration or excess sweet liquid intake.
  • Hypoglycemia may be caused by: decreased oral caloric intake, decreased endogenous glucose production (e.g., adrenal crisis or liver failure), increased glucose utilization (e.g., infection), decreased insulin clearance (e.g., renal failure).

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Last updated: August 1, 2017