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What Is Hhs In Diabetes?

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Hyperosmolar Hyperglycemic State: A Historic Review Of The Clinical Presentation, Diagnosis, And Treatment

Go to: The hyperosmolar hyperglycemic state (HHS) is a syndrome characterized by severe hyperglycemia, hyperosmolality, and dehydration in the absence of ketoacidosis. The exact incidence of HHS is not known, but it is estimated to account for <1% of hospital admissions in patients with diabetes (1). Most cases of HHS are seen in elderly patients with type 2 diabetes; however, it has also been reported in children and young adults (2). The overall mortality rate is estimated to be as high as 20%, which is about 10 times higher than the mortality in patients with diabetic ketoacidosis (DKA) (3–5). The prognosis is determined by the severity of dehydration, presence of comorbidities, and advanced age (4,6,7). Treatment of HHS is directed at replacing volume deficit and correcting hyperosmolality, hyperglycemia, and electrolyte disturbances, as well as management of the underlying illness that precipitated the metabolic decompensation. Low-dose insulin infusion protocols designed for treating DKA appear to be effective; however, no prospective randomized studies have determined best treatment strategies for the management of patients with HHS. Herein, we present an extensive review Continue reading >>

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Popular Questions

  1. dumblenetwork

    Anyway to get rid of bad breath in ketosis?

    Just broke my 3rd fast today (day 4) due to feeling constantly sick throughout the day and every 10 seconds nearly puking up but instead burping, stomach pains a lot - normally to do with needing to go for a sh*t - some reason unable to, have to properly force it out.
    Was wondering how I can get rid of the foul bad breath smell as it's a major put off and something that has bothered me A LOT along with the feeling sick constantly.
    I brush my teeth but it seems to come back after an hour, tried chewing a piece of gum or two and it can still be smelt after

  2. Rogue_Biscuit

    Have you been vigilant with brushing your TONGUE?
    I never realized before, but a lot of that icky taste in you mouth comes from a film that develops on your tongue. I brush my tongue like 4 times a day when in ketosis to avoid that gross taste, haha.

  3. dumblenetwork

    I've tried brushing it once or twice and it just comes back

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