Medical Emergencies · single question

The most common acute complication encountered during dental treatment in a patient with type 2 diabetes is:

  1. Hypoglycemia
  2. Diabetic ketoacidosis
  3. Hyperosmolar coma
  4. Lactic acidosis
Show answer and explanation

Correct answer: A. Hypoglycemia

  • A. Correct. Hypoglycemia (from medication taken without adequate food, stress, or a missed meal before the appointment) is the most common and most acute office complication. Treat a conscious patient with oral carbohydrate.
  • B. DKA is more typical of type 1 diabetes and develops over hours–days, not acutely in the chair.
  • C. Hyperosmolar hyperglycemic state evolves slowly and is uncommon as an office emergency.
  • D. Lactic acidosis is rare and not the typical acute office event.

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