“Diabetes level exceeded 500” The cause of death of the late Kim Soo-mi… High blood sugar shock, what is it?

The final cause of death of Kim Soo-mi, who passed away at the age of 75 on the morning of the 25th, was reported to be hyperglycemia shock.

Kim Soo-mi’s son, Myeong-ho Jeong, director of Morning Glory F&B, said, “The police who investigated the cause of death reported that the final cause of death was hyperglycemic shock.” He added, “The diabetes level was over 500.” He continued, “Actually, my mother was under a lot of stress because of ‘My Mother’s Mom,'” and “I was preparing a lawsuit because I hadn’t received a single penny of my appearance fee since last year.”

In fact, it was confirmed that Kim Soo-mi has not been paid her appearance fee since last year as the production company of the musical ‘My Mother’s Mother’ was embroiled in a plagiarism dispute. This year, Kim Soo-mi’s active participation in the musical ‘My Mom’ required a lot of physical strength, and it is said that fatigue accumulated due to this.

Hyperglycemic shock, blood sugar level over 500 mg/dL… Dehydration and electrolyte imbalance occur, causing cardiac arrest

Hyperglycemic shock, known as Kim Soo-mi’s cause of death, is an emergency disease that occurs when blood sugar levels are very high.

Usually, when blood sugar levels continue to rise above 180 mg/dL, sugar begins to leak into the urine and symptoms of hyperglycemia such as fatigue, frequent urination, extreme hunger, dry skin and mouth, and blurred vision begin to appear.

In the words of Kim Soo-mi’s son, director Myung-ho Jeong, explaining the cause of death, ‘the diabetes level was over 500’ means that the blood sugar level was over 500 mg/dL. This is a very serious emergency that requires immediate treatment.

If the blood sugar level is over 500 mg/dL, there is a high possibility that it will progress to Diabetic Ketoacidosis (DKA) or Hyperosmolar Hyperglycemic State (HHS), which are acute complications related to diabetes. Both of these conditions are considered hyperglycemic shock, and both DKA and HHS can cause cardiac arrest due to loss of blood sugar control.

HHS, which is similar to Kim Soo-mi’s condition, mainly occurs in patients with type 2 diabetes, where blood sugar levels become extremely high (generally over 600 mg/dL), and dehydration and electrolyte imbalance occur as the kidneys excrete excess sugar through urine. It’s in a state of being done. Since little ketone bodies are formed, acidosis does not occur, but as the osmotic pressure in the blood increases, it affects the brain and nervous system and can lead to coma or severe mental confusion. Without proper treatment, severe dehydration and blood circulation problems can lead to cardiac arrest or kidney failure.

DKA mainly occurs in patients with type 1 diabetes, but can also occur in patients with type 2 diabetes. Due to a lack of insulin, the body uses fat as an energy source, producing ketone bodies, which leads to a state of metabolic acidosis in which the blood becomes acidic. Blood sugar levels are high (generally over 250 mg/dL), and ketone bodies accumulate, causing nausea, vomiting, abdominal pain, and coma. If not treated early, DKA can lead to cardiac arrest or multiple organ failure due to severe electrolyte imbalance and dehydration.

The explanation is that both HHS and DKA can generally cause cardiac arrest due to dehydration, electrolyte imbalance, acid-base imbalance, increased blood viscosity, and vascular damage.

There are three main causes of hyperglycemic shock. △If you do not administer enough insulin or miss an injection, hyperglycemia may occur. △Insulin requirements increase rapidly due to external factors that burden the body, such as stress and infection. △Steroids and some diuretics can rapidly increase blood sugar levels.

The main symptoms of hyperglycemic shock include extreme thirst, polyuria (excessive urine), dehydration, confusion and decreased consciousness, rapid breathing (especially in DKA), abdominal pain, nausea, and vomiting (commonly seen in DKA).

Hyperglycemic shock requires immediate treatment, and it is important to control blood sugar and electrolytes through intravenous fluid supply and insulin administration. If your blood sugar level is over 500 mg/dL like Kim Soo-mi, you should immediately visit a medical institution and receive intravenous fluids, insulin administration, and electrolyte correction. It is important to drink enough fluids to reduce the risk of dehydration, but you should avoid drinks other than water, especially those containing sugar.