Diabetic hyperglycemic hyperosmolar syndrome
Alternate Names : Hyperglycemic hyperosmolar coma, Nonketotic hyperglycemic hyperosmolar coma (NKHHC), Hyperosmolar nonketotic coma (HONK)
Treatment
The goal of treatment is to correct the dehydration. This will improve the blood pressure, urine output, and circulation. Fluids and potassium will be given through a vein (intravenously). High glucose levels are treated with intravenous insulin.
Prognosis (Expectations)
Patients who develop this syndrome are often already ill. The death rate with this condition is as high as 40%.
Complications
- Acute circulatory collapse (shock)
- Blood clot formation
- Brain swelling (cerebral edema)
- Increased blood acid levels (lactic acidosis)
Calling Your Health Care Provider
This condition is a medical emergency. Go to the emergency room or call the local emergency number (such as 911) if you develop symptoms of diabetic hyperglycemic hyperosmolar syndrome.
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