| Summary: | Background: Acute complications in diabetic patients who were attended in emergency have increased; however, there are no studies that indicate the frequency, characteristics and management of these pathologies in third level hospitals. Objective: to identify the frequency, characteristics and management of acute complications in diabetic patients treated in the emergency service of the Hospital Vicente Corral Moscoso in the period 2017. Methodology: A retrospective observational study, was carried out with a population of patients registered in the period 2017, diagnosed with ketoacidosis, hyperosmolar hypoglycemic state and hypoglycemia. Complications were identified by international classification of diseases, a database was developed with the SPSS version 23 program with sociodemographic, clinical and therapeutic variables with statistical measures of frequency distribution, mean, standard deviation, the information was presented in graphs and tables. Results: the studied population was 350 patients who were attended in emergency of the Hospital Vicente Corral Moscoso in the period 2017. A total of 165 patients (47.1%) presented complications due to hyperglycemic hyperosmolar state, 113 patients (32.3%) ketoacidosis and 72 (20.6%) of patients presented hypoglycemia, according to the symptoms: hyperglycemic hyperosmolar state 119 patients (35.2%) presented dry oral mucosa at admission, diabetic ketoacidosis 96 patients (30.7%) presented abdominal pain, and hypoglycemia, 55 patients (25%) of the patients presented confusion. In the treatment of hyperglycemic hyperosmolar state, 94 patients (27.8%) underwent hydration with saline solution, in ketoacidosis 110 patients (35.1%), intravenous fluid replacement was performed, and in hypoglycemia, it was obtained that 78 patients (35.5%) checked glucose level every 15 minutes. Conclusion: in this study, the female sex was the most affected by acute complications of diabetes and the ages ranged from 61 to 80 years old, type 2 diabetes was the most frequent and was related to comorbidities such as high blood pressure, and overweight. The most frequent acute complication treated in emergency was the hyperglycemic hyperosmolar state (47.1%), where there were manifestations related to dehydration symptoms, followed by complications such as hypoglycemia where the most frequent symptoms were confusion, and in ketoacidosis was abdominal pain.
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