What Is Hhs In Diabetes?

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Hyperosmolar Hyperglycemic State

Hyperosmolar hyperglycemic state is a life-threatening emergency manifested by marked elevation of blood glucose, hyperosmolarity, and little or no ketosis. With the dramatic increase in the prevalence of type 2 diabetes and the aging population, this condition may be encountered more frequently by family physicians in the future. Although the precipitating causes are numerous, underlying infections are the most common. Other causes include certain medications, non-compliance, undiagnosed diabetes, substance abuse, and coexisting disease. Physical findings of hyperosmolar hyperglycemic state include those associated with profound dehydration and various neurologic symptoms such as coma. The first step of treatment involves careful monitoring of the patient and laboratory values. Vigorous correction of dehydration with the use of normal saline is critical, requiring an average of 9 L in 48 hours. After urine output has been established, potassium replacement should begin. Once fluid replacement has been initiated, insulin should be given as an initial bolus of 0.15 U per kg intravenously, followed by a drip of 0.1 U per kg per hour until the blood glucose level falls to between 250 Continue reading >>

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Popular Questions

  1. reghitch

    Ketones in urine - what does it mean?

    Apparently today I had ++ ketones in my urine sample. The midwife suggested I was dehydrated and hadn't been eating regularly enough. Baby was fine on the CTG. Has anyone else had this and can any midwives explain what it means?

  2. hippychick

    Re: Ketones in urine - what does it mean?

    I had this on 2 of my pregnancies, both times I was told it was because I wasn't eating or drinking enough.

  3. Lady Vixen

    Re: Ketones in urine - what does it mean?

    I had +++ketones while pregnant with Master Vixen and had to be hospitalised onna 24hour urine collection. Turns out I was severely dehydrated and had to be hooked onto a drip.
    Not sure if its linked but I then ended up suffering from pre-eclampsia.
    Providing you have ++ ketones and this remains stable you should be ok. Keep drinking plently of fluid though

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