What Is Hyperglycemic Hyperosmolar Syndrome?

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Managing Hyperosmolar Syndrome

Go to site For Pet Owners Hyperosmolar syndrome is an uncommon complication of untreated feline diabetes mellitus. In animals in which target tissue resistance to insulin plays a role in the disease, insulin levels can be elevated. In these cases, ketosis is suppressed and plasma glucose concentrations can become very high. Diagnosis Physical examination often reveals profound dehydration, and the cat is typically lethargic, extremely depressed, or comatose. The severity of the hyperosmolality correlates directly with the severity of these signs. Hyperosmolar syndrome represents an emergency situation. Affected cats will become progressively weaker, anorexic, lethargic, and drink less. Ultimately, blood glucose levels become so high that osmosis shifts water from brain cells and coma results. Management guidelines Goals of management include correcting fluid deficits and electrolyte balance associated with severe dehydration, reducing blood glucose via insulin therapy, correcting the hyperglycemic, hyperosmolar state, and managing concurrent diseases. Fluid therapy is critical to alleviate this syndrome, especially in the first 4 to 6 hours of management. The goal is to reduce bloo Continue reading >>

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Popular Questions

  1. kimmer

    Hi everyone,
    I'm currently 15 days into my Whole30 and as of three days ago I start experiencing bad breath/taste. It's gotten so bad that it has made me throw up and I haven't been able to eat much as it makes everything I eat taste horrible.
    I have a really good dental hygeine schedule but that seems to only be a temporary fix, usually about an hour before it goes bad again, I've tried liquid chlorophyll and probiotics incase it was something in my gut and I'm drinking a lot of water also.
    I've looked around on the internet and the only thing that could be causing this is ketosis. I've tried adding more carb rich vegetables to my meals but it hasn't made a difference.
    Has anyone else here experienced anything similar? What did you do to fix it? Does it go away on its own?
    Thanks for your help.

  2. missmary

    Its unlikely that you are in ketosis if you are eating veggies. One possible culprit is heavy metal detox. This will happen through your teeth/mouth and yes, it does go away after a while (although for now be happy the heavy metals are exiting your system!). One thing that really helps is oil pulling. I know, it sounds weird, but do this: take a spoonful of coconut oil (not huge) and hold it in your mouth. Once it melts, start swishing it through your teeth and back and forth. Swish it around your mouth for a minute or so? I never could stand it for very long. When you are done, spit it into the trash (it will clog your sink) and rinse once more with water. The oil binds to any heavy metals in your mouth, and coconut oil in particular is antibacterial (meaning this should help even if this is something other than heavy metal detox), anyway, win win. worth a try?
    For the record, FYI: my teeth/mouth has never been healthier since I started the whole30, like noticed by my hygenist healthier, so there is hope.

  3. Tom Denham

    I wonder if your time line has been too compressed for starchy, carb-rich vegetables to help YET. If you have been in ketosis, it may take more than a day of eating carb rich vegetables to balance you out again.

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