Users' questions

What is HHNS diabetes?

What is HHNS diabetes?

Overview. Diabetic hyperosmolar (hi-pur-oz-MOE-lur) syndrome is a serious condition caused by extremely high blood sugar levels. The condition most commonly occurs in people with type 2 diabetes. It’s often triggered by illness or infection.

How can you tell the difference between HKA and HHS?

DKA usually evolves rapidly. In HHS, there is little or no ketoacidosis and the serum glucose concentration frequently exceeds 1000 mg/dL. HHS usually evolves over a period of several days. Overlap between DKA and HHS occurs in more than one-third of patients.

What does Nonketotic mean?

: not associated with ketosis nonketotic coma.

What causes hyperglycemic hyperosmolar nonketotic syndrome?

Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is a potentially deadly condition that can develop as a result of infection or illness in people with uncontrolled type 2 diabetes or when diabetes medications aren’t taken as directed. Some also refer to this as a “diabetic coma.”

Why are there no ketones in HHS?

Serum ketones are not present because the amounts of insulin present in most patients with type 2 diabetes are adequate to suppress ketogenesis.

What is the standard treatment for hyperosmolar hyperglycemic syndrome?

Treatment typically includes: Fluids given through a vein (intravenously) to treat dehydration. Insulin given through a vein (intravenously) to lower your blood sugar levels. Potassium and sometimes sodium phosphate replacement given through a vein (intravenously) to help your cells function correctly.

Which is worse HHS or DKA?

Hyperosmolar hyperglycemic state (HHS) is one of two serious metabolic derangements that occur in patients with diabetes mellitus (DM). It is a life-threatening emergency that, although less common than its counterpart, diabetic ketoacidosis (DKA), has a much higher mortality rate, reaching up to 5-10%.

How is Hyperosmolarity treated?

Treatment typically includes:

  1. Fluids given through a vein (intravenously) to treat dehydration.
  2. Insulin given through a vein (intravenously) to lower your blood sugar levels.
  3. Potassium and sometimes sodium phosphate replacement given through a vein (intravenously) to help your cells function correctly.

How is hyperosmolar hyperglycemic nonketotic syndrome treated?

10 to 15 units of regular human insulin should be injected as a bolus, followed by a continuous infusion of approximately 0.1 U/kg/h. Once the blood glucose approaches 13.9 to 16.7 mmol/L (250 to 300) mg/dl, 5% dextrose should be added to the intravenous fluids and the rate of insulin infusion reduced.

How is hyperosmolar hyperglycemia syndrome treated?

Can you have ketones in HHS?

HHS is a potentially life-threatening emergency It does not usually lead to the presence of ketones in the urine, as occurs in diabetic ketoacidosis (DKA), which is why it was previously referred to as HONK (hyperglycaemic hyperosmolar non-ketotic coma).

Which is worse DKA or HHS?

What is hhnk medical diagnosis?

HHNKC is an emergency that requires immediate medical care. The condition may be diagnosed via blood glucose test or via testing the body’s water balance and electrolyte levels, like in a serum osmolality test.

What does hyperosmolar coma mean?

Hyperosmolar-coma definitions Any coma that results from a greater than normal amount of glucose in the blood.

What is hhnk medical?

1. characterized by or causing hyperglycemia. 2. an agent that has this effect. hyperglycemic hyperosmolar nonketotic (HHNK) coma a metabolic derangement in which there is an abnormally high serum glucose level without ketoacidosis.

What is hhnk diabetes?

Hyperglycemic hyperosmolar nonketotic coma (HHNKC) is an extremely serious complication of type 2 diabetes, most often occurring in those who are non-insulin dependent. It is also known as diabetic coma.