What Is Hyperglycemic Hyperosmolar Syndrome?

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(redirected from hyperglycemic hyperosmolar nonketotic coma (HHNK)) Also found in: Dictionary. hyperglycemic [hi″per-gli-se´mik] 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. It can occur as a complication of borderline and unrecognized diabetes mellitus, in pancreatic disorders that interfere with the production of insulin, as a complication of extensive burns, and in conditions marked by an excess of steroids, as in steroid therapy, or acute stress conditions, such as infection. It also may develop during total parenteral nutrition, hemodialysis, or peritoneal dialysis. Called also hyperosmolar nonketotic coma. Symptoms. The hyperglycemia of HHNK coma is usually extreme, with fasting blood sugar levels ranging from 600 to 3000 mg per 100 ml of blood. In contrast to typical diabetic coma, however, the serum acetone level is normal or only slightly elevated. This occurs because, although there is sufficient insulin available to avoid ketosis, there is not enough to metabolize the glucose and the Continue reading >>

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  1. Bessie

    Hi everyone, thought I'd say hello!
    I was calorie counting but not doing very well as I think I am properly addicted to carbs (I have been bingeing on sugary cr*p). So here I am trying to kick the addition (and hopefully lose lots of weight) on Atkins. The appeal is the promise of no more hunger - I'm sick of going to bed hungry on calorie counting!
    The only thing I'm confused by is why net carb values vary between the book/website and when calculated from food labels (total carbs - fibre). Am I doing something wrong here? Also, is it my misunerstanding or can you actually eat a hell of a lot of salad veg during the induction phase? I am counting everything (according to US cup measurements on official Atkins website) but 20g net carbs seems like a hell of a lot.
    Also, where do you buy your keto-stix from? I bought some from Boots yesterday but at £9.98 for 50, they seem rather expensive.
    Sorry for all the questions, but any advice would be greatly appreciated.
    Bessie x

  2. mick_in_warrington

    hi Bessie, welcome to the board. i was also a carb addict lol, and the first 3 days on low carb were a bit trying, but glad i persevered, as now i don't have those cravings.
    as i understand it, only the US labels have to take fibre away from carbs to get the net value. in the UK, you don't have to do that. the carbs you see listed are the net ones already (if im wrong, apologies, but i think that's how it works)
    There is a sticky at the top of the forum page, listing all the salad/veg you can have, based on 5 grams, 10 grams etc, which is really useful.
    good luck with doing this, it really does work

  3. Bessie

    Thanks Mick. Now it all makes sense! It's really weird being on this diet as I'm allowed to eat foods that were previously 'banned'.

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