Dr. Ho Huu Tai, from the Emergency Department at Tam Anh General Clinic District 7, reported that the patient was admitted appearing sluggish, breathing rapidly, with dry skin due to dehydration, and a high heart rate of approximately 135 beats/minute. Laboratory results showed elevated blood sugar and an HbA1c level (a test measuring average blood sugar over two to three months) nearly two times higher than normal. The patient also suffered from severe blood acidosis, meaning the acid levels in the body significantly increased beyond the body's ability to balance, and a respiratory infection.

The patient was brought to Tam Anh General Clinic District 7 by ambulance. *Photo: Clinic provided*

According to Dr. Tai, diabetic patients with infections have a higher insulin demand, leading to elevated blood sugar. Concurrently, the body shifts to breaking down fat for energy, producing ketone bodies. The accumulation of ketones makes the blood acidic, resulting in acidosis, dehydration, electrolyte imbalance, and impaired consciousness.

Mr. Ly received an alkaline replacement solution, continuous insulin infusion, fluid replacement, and treatment to correct his electrolyte imbalance.

After two hours, Mr. Ly's vital signs were initially controlled, and he was transferred to the intensive care unit (ICU) at Tam Anh General Hospital Ho Chi Minh City. There, the patient continued to receive insulin and fluid replacement until the blood acidosis was fully resolved.

Following treatment, his respiration improved, and metabolic disorders were gradually brought under control. The patient was discharged after 7 days.

Dr. Tai advised diabetic patients not to arbitrarily discontinue medication, skip follow-up appointments, or trust unverified "miracle cures" or traditional herbal remedies found online. Patients experiencing accompanying symptoms such as fever, cough, infection, extreme fatigue, excessive thirst, frequent urination, rapid deep breathing, or disorientation should seek medical examination for diagnosis, identification of the cause, and timely intervention.

By Nhu Ngoc

*The patient's name has been changed