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What Is Hhs In Diabetes?

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Hyperosmolar Hyperglycemic State

A serious metabolic complication of diabetes characterized by severe hyperglycemia, hyperosmolality, and volume depletion, in the absence of severe ketoacidosis. Occurs most commonly in older patients with type 2 diabetes. Contributes to less than 1% of all diabetes-related admissions. However, mortality is high (5% to 15%). Presents with polyuria, polydipsia, weakness, weight loss, tachycardia, dry mucus membranes, poor skin turgor, hypotension, and, in severe cases, shock. Altered sensorium (lethargy, disorientation, stupor) is common and correlates best with effective serum osmolality. Coma is rare and, if seen, is usually associated with a serum osmolality >340 mOsm/kg. Treatment includes correction of fluid deficit and electrolyte abnormalities, and IV insulin. Hyperosmolar hyperglycemic syndrome (HHS), also known as non-ketotic hyperglycemic hyperosmolar syndrome (NKHS), is characterized by profound hyperglycemia (glucose >600 mg/dL), hyperosmolality (effective serum osmolality 320 mOsm/kg), and volume depletion in the absence of significant ketoacidosis (pH >7.3 and HCO3 >15 mEq/L), and is a serious complication of diabetes. HHS may be the first presentation of type 2 diabe Continue reading >>

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Popular Questions

  1. bullshifter

    Intermittent Fasting For Keto

    I've read a bit on this....who here is doing it, and what results have you had? what does your example schedule look like?
    and the big question here is, any muscle loss? and I've read you can gain lean mass while doing this, but struggle to see how it's possible. Any help is appreciated from you fine bunch here in the Keto forum

  2. FrostFox

    Fasting = LOTS OF MUSCLE LOSS.
    You are 100% guaranteed to lose muscle when you fast. Your body is starving, and sees survival as eating muscle to reduce caloric expenditure.
    Keto by itself is an extremely efficient way to lose fat. Remember, you want to lose fat, not weight. Weight = muscle + fat.

  3. Mourning Tide

    Umm you are using fat as your primary energy srouce ALL the time while in ketosis so I dont see the point of fasted cardio unless you want to risk muscle loss.

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