Pathophysiology and management of fluid and electrolyte disturbances in patients on chronic dialysis with severe hyperglycemia

Seminars in Dialysis

Volumn 21, Issue 5, 2008, Pages 431-439

  Tzamaloukas, Antonios H ^a,b   Ing, Todd S ^c   Siamopoulos, Kostas C ^d   Raj, Dominic S C ^b   Elisaf, Moses S ^d   Rohrscheib, Mark ^b   Murata, Glen H ^a,b  

^a NEW MEXICO VA HEALTH CARE SYSTEM   (United States)

^b UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE   (United States)

^c LOYOLA UNIVERSITY CHICAGO   (United States)

^d UNIVERSITY OF IOANNINA   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BODY WATER; CHRONIC KIDNEY FAILURE; DISORDERS OF ACID BASE BALANCE; EXTRACELLULAR FLUID; HUMAN; HYPERGLYCEMIA; METABOLIC DISORDER; PATHOPHYSIOLOGY; RENAL REPLACEMENT THERAPY;

ACID-BASE IMBALANCE; BODY WATER; EXTRACELLULAR FLUID; HUMANS; HYPERGLYCEMIA; KIDNEY FAILURE, CHRONIC; RENAL DIALYSIS; WATER-ELECTROLYTE IMBALANCE;

EID: 54749151033     PISSN: 08940959     EISSN: 1525139X     Source Type: Journal    
DOI: 10.1111/j.1525-139X.2008.00464.x     Document Type: Article

References (49)

1. Foster DW : Insulin deficiency and hyperosmolar coma. Adv Intern Med 19 : 159 174, 1974
2. Foster DW, McGarry JD : The metabolic derangements and treatment of diabetic ketoacidosis. N Engl J Med 309 : 159 169, 1983
3. Kitabchi AE, Umpierrez GE, Murphy MB, Barrett EJ, Kreisberg RA, Malone JI, Wall BM : Management of hyperglycemic crises in patients with diabetes. Diabetes Care 24 : 131 153, 2001
4. Kitabchi AE, Umpierrez GE, Murphy MB, Barrett EJ, Kreisberg RA, Malone JI, Wall BM : Hyperglycemic crises in patients with diabetes mellitus. Diabetes Care 26 (Suppl. 1 S109 S117, 2003
5. Tzamaloukas AH, Ing TS, Siamopoulos KC, Rohrscheib M, Elisaf MS, Raj DSC, Murata GH : Body fluid abnormalities in severe hyperglycemia in patients on chronic dialysis: theoretical analysis. J Diabet Complications 21 : 374 380, 2007
6. Tzamaloukas AH, Ing TS, Siamopoulos KC, Rohrscheib M, Elisaf MS, Raj DSC, Murata GH : Body fluid abnormalities in severe hyperglycemia in patients on chronic dialysis: review of published reports. J Diabet Complications 22 : 29 37, 2008
7. Feig PU, McCurdy DK : The hypertonic state. N Engl J Med 297 : 1444 1454, 1977
8. Gennari FJ, Kassirer JP : Osmotic diuresis. N Engl J Med 291 : 714 719, 1974
9. Arieff AI, Carroll HJ : Nonketotic hyperosmolar coma with hyperglycemia. Medicine (Baltimore) 51 : 73 94, 1972
10. Fitzsimons JT : Drinking in nephrectomized rats injected with various substances. J Physiol 155 : 563 579, 1961
11. McNair P, Madsbad S, Christensen MS, Transbol I : Hyponatremia and hyperkalemia in relation to hyperglycemia in insulin-treated diabetic outpatients. Clin Chim Acta 120 : 243 250, 1982
12. Hillier TA, Abbott RD, Barrett EJ : Hyponatremia: evaluation of the correction factor for hyperglycemia. Am J Med 106 : 399 403, 1999
13. Ifudu O, Dulin AL, Friedman EA : Interdialytic weight gain correlates with glycosylated hemoglobin in diabetic hemodialysis patients. Am J Kidney Dis 23 : 681 691, 1994
14. Tzamaloukas AH, Avasthi PS : Effects of hyperglycemia on serum sodium concentration and tonicity in outpatients on chronic dialysis. Am J Kidney Dis 7 : 477 482, 1986
15. Ramdeen G, Tzamaloukas AH, Malhotra D, Leger A, Murata GH : Estimates of interdialytic sodium and water intake based on the balance principle: Differences between nondiabetic and diabetic subjects on hemodialysis. ASAIO J 44 : 812 817, 1998
16. Kapsner CO, Tzamaloukas AH : Understanding serum electrolytes. How to avoid making mistakes. Postgrad Med 90 : 151 161, 1991
17. Tomkins AM, Dormandy TL : Osmolal pattern during recovery from diabetic coma. Lancet 2 : 952 955, 1971
18. Tzamaloukas AH, Levinstone AR, Gardner KD Jr. : Hyperglycemia in advanced renal failure: sodium and water metabolism. Nephron 31 : 40 44, 1982
19. Seldin DW, Tarail R : The metabolism of glucose and electrolytes in diabetic acidosis. J Clin Invest 29 : 552 565, 1950
20. McCurdy DK : Hyperosmolar hyperglycemic nonketotic diabetic coma. Med Clin North Am 90 : 151 161, 1970
21. Al-Kudsi RR, Daugirdas JT, Ing TS, Kheirbeck AO, Popli S, Hano JE, Gandhi VC : Extreme hyperglycemia in dialysis patients. Clin Nephrol 17 : 228 231, 1982
22. Katz MA : Hyperglycemia-induced hyponatremia: calculation of expected serum sodium depression. N Engl J Med 289 : 843 844, 1973
23. Tzamaloukas AH, Rohrscheib M, Ing TS, Siamopoulos KC, Elisaf MS, Spalding CT : Serum tonicity, extracellular volume and clinical manifestations in symptomatic dialysis-associated hyperglycemia treated only with insulin. Int J Artif Organs 27 : 751 758, 2004
24. Kitabchi AE, Umpierrez GE, Murphy MB, Kreisberg RA : Hyperglycemic crises in adult patients with diabetes: a consensus statement from the American Diabetes Association. Diabetes Care 29 : 2739 2748, 2006
25. Tzamaloukas AH : Characterization of the state of body fluids in anuric hyperglycemic humans. Miner Electrolyte Metab 13 : 126 132, 1987
26. Darrow DC, Yannett H : The change in the distribution of body water accompanying increase and decrease in extracellular electrolyte. J Clin Invest 14 : 266 275, 1935
27. Elisaf MS, Tsatsoulis AA, Katopodis KP, Siamopoulos KC : Acid-base and electrolyte disturbances in patients with diabetic ketoacidosis. Diabetes Res Clin Pract 34 : 23 27, 1996
28. Tzamaloukas AH, Avasthi PS : Acid-base disorders in hyperglycemia of insulin-dependent diabetic patients on chronic dialysis. J Diabet Complications 2 : 75 78, 1988
29. Tzamaloukas AH, Rohrscheib M, Ing TS, Siamopoulos KC, Qualls C, Elisaf MS, VanderJagt DJ, Spalding CT : Serum potassium and acid-base parameters in severe dialysis-associated hyperglycemia treated with insulin. Int J Artif Organs 28 : 229 236, 2005
30. Paulson WD : Anion gap-bicarbonate relation in diabetic ketoacidosis. Am J Med 81 : 995 1000, 1986
31. Adrogue HJ, Wilson H, Boyd AE 3rd., Suki WN, Eknoyan WK : Plasma acid-base patterns in diabetic ketoacidosis. N Engl J Med 307 : 1603 1610, 1982
32. Albert MS, Dell RB, Winters RW : Quantitative displacement of acid-base equilibrium in metabolic acidosis. Ann Intern Med 66 : 312 322, 1967
33. Gupta A, Rohrscheib M, Tzamaloukas AH : Extreme hyperglycemia with ketoacidosis and hyperkalemia in a patient on chronic hemodialysis. Hemodial Int (in press).
34. Legrain M, Rottembourg J, Bentchikou A, Poignet JL, Issad B, Bathelemy A, Strippoli P, Gahl GM, de Groc F : Dialysis treatment of insulin dependent diabetes mellitus: ten years experience. Clin Nephrol 21 : 72 81, 1984
35. Montoliu J, Revert L : Lethal hyperkalemia associated with severe hyperglycemia in diabetic patients with renal failure. Am J Kidney Dis 5 : 47 48, 1985
36. De Fronzo RA, Sherwin RS, Dillingham M, Hendler R, Tamborlane W, Felig P : Influence of basal insulin and glucagon secretion on potassium and sodium metabolism. Studies with somatostatin in normal dogs and in normal and diabetic human subjects. J Clin Invest 61 : 472 479, 1978
37. Adrogue HJ, Lederer ED, Suki W, Eknoyan G : Determinants of plasma potassium in diabetic ketoacidosis. Medicine (Baltimore) 65 : 163 172, 1986
38. Andress R, Baltzman MA, Cader G, Zierler KL : Effect of insulin on carbohydrate metabolism and on potassium in the forearm of man. J Clin Invest 41 : 108 115, 1962
39. Makoff DL, Da Silva JA, Rosenbaum BJ : On the mechanism of hyperkalemia due to hyperosmotic expansion with saline or mannitol. Clin Sci 41 : 383 393, 1971
40. Viberti GC : Glucose-induced hyperkalemia: a hazard for diabetics? Lancet 1 : 690 691, 1978
41. Tzamaloukas AH, Avasthi PS : Serum potassium concentration in hyperglycemia of diabetes mellitus with long-term dialysis. West J Med 146 : 571 575, 1987
42. Oster JR, Perez GO, Vaamonde CA : Relationship between blood pH and potassium and phosphorus during acute metabolic acidosis. Am J Physiol 235 : F345 F351, 1978
43. Peterson LN, Levi M : Disorders of potassium metabolism. In : Schrier RW (ed). Renal and Electrolyte Disorders, 6th edn. Philadelphia : Lippincott Williams & Wilkins, 2003 : 171 215
44. Martin HE, Smith K, Wilson ML : The fluid an electrolyte therapy of severe diabetic acidosis and ketosis. Am J Med 24 : 376 389, 1958
45. Rohrscheib M, Tzamaloukas AH, Ing TS, Siamopoulos KC, Elisaf MS, Murata GH : Serum potassium concentration in hyperglycemia of chronic dialysis. Adv Perit Dial 21 : 13 16, 2005
46. Daugirdas JT, Kronfol NO, Tzamaloukas AH, Ing TS : Hyperosmolar coma: cellular dehydration and the serum sodium concentration. Ann Intern Med 110 : 855 857, 1989
47. Kaldany A, Curt GA, Estes NM, Weinraugh LA, Christlieb AR, D'Elia JA : Reversible acute pulmonary edema due to uncontrolled hyperglycemia in diabetic individuals with renal failure. Diabetes Care 5 : 506 511, 1982
48. Axelrod L : Response of congestive heart failure to correction of hyperglycemia in the presence of diabetic nephropathy. N Engl J Med 293 : 1243 1245, 1975
49. Adrogue H, Madias NE : Hypernatremia. N Engl J Med 342 : 1493 1499, 2000