Diabetic coma occurs when blood sugar gets too high and the body becomes severely dehydrated. The hyperosmolar hyperglycemic state hhs is the most serious acute hyperglycemic emergency in patients with type 2 diabetes. Symptoms include signs of dehydration, weakness, leg cramps, vision problems, and an altered level of consciousness. The condition most commonly occurs in people with type 2 diabetes. The latter designation is a misnomer, because a mild degree of ketosis often is present, and a true coma is uncommon. Hyperosmolar hyperglycemic state, diabetic hhs vs dka. Start studying hyperglycemia hyperosmolar nonketotic syndrome vs. The name changed from honk hyperosmolar non ketotic coma to hyperosmolar hyperglycaemic state to allow for the fact that some patients may be extremely ill but not comatose and may also be mildly ketotic and acidotic. The mortality rate of hyperosmolar hyperglycemic state ranges from 10 to 50 percent, higher rate than that of diabetic ketoacidosis 1. Hyperosmolar hyperglycemic state american family physician. Hyperglycemic hyperosmolar syndrome hhs is a potentially life threatening condition involving extremely high blood sugar glucose levels. Hyperglycemic hyperosmolar nonketotic syndrome hhns was infrequently diagnosed till recently. Now it is being diagnosed with increasing frequency in obese children with type 2 diabetes mellitus. When your blood sugar gets too high, the kidneys try to.
The management of the hyperosmolar hyperglycaemic state. Diabetic hyperosmolar hipurozmoelur syndrome is a serious condition caused by extremely high blood sugar levels. Shortterm fasting is a mechanism for the development of euglycemic ketoacidosis during periods of insulin deficiency. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Changing the name to hyperosmolar hyperglycaemic state hhs allows for the fact that some people with severely raised blood glucose may also be mildly ketotic and acidotic. Hyperosmolar hyperglycemic state hhs is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis. Webmd tells you the symptoms to look out for and how its treated. Hyperosmolar hyperglycemic state hhs is a lifethreatening endocrine emergency that most commonly affects adults with type 2 diabetes mellitus. Aggressive administration of insulin can cause hyperchloremia and decrease the gap prior to an increase in bicarbonate.
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