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What Is Hhs In Diabetes?

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Visit us (http://www.khanacademy.org/science/he...) for health and medicine content or (http://www.khanacademy.org/test-prep/...) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Matthew McPheeters. Watch the next lesson: https://www.khanacademy.org/test-prep... Missed the previous lesson? https://www.khanacademy.org/test-prep... NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/b...). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academys NCLEX-RN channel: https://www.youtube.com/channel/UCDx5... Subscribe to Khan Academy: https://www.youtube.com/subscription_...

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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  1. siimlandcom

    How to Get Back Into Ketosis After Cheating (youtube.com)

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DKA and HHS (HHNS) nursing NCLEX lecture review of the treatment, patient signs/symptoms, and management. Diabetic ketoacidosis and hyperosmolar hyperglycemia nonketotic syndrome are two complications that can present in diabetes mellitus. DKA is more common in type 1 diabetics, whereas, HHNS is more common in type 2 diabetics. Patients with diabetic ketoacidosis will present with ketosis and acidosis and signs/symptoms will include hyperglycemia (greater than 300 mg/dL), Kussmaul breathing, fruity (acetone breath), ketones in the urine, and metabolic acidosis. Patients with hyperglycemic hyperosmolar syndrome will NOT have ketosis or acidosis but EXTREME hyperglycemia (greater than 600 mg/dL). In addition, hyperosmolarity will present which will cause major osmotic diuresis and the patient will experience with severe dehydration. Quiz on DKA vs HHNS: http://www.registerednursern.com/dka-... Lecture Notes for this video: http://www.registerednursern.com/dka-... Diabetes NCLEX Review Series: https://www.youtube.com/playlist?list... Video on DKA (detailed lecture): https://www.youtube.com/watch?v=IxrCV... Video on HHNS (detailed lecture): https://www.youtube.com/watch?v=LyExA... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos": https://www.youtube.com/playlist?list... "Nursing School Study Tips": https://www.youtube.com/playlist?list... "Nursing School Tips & Questions": https://www.youtube.com/playlist?list... "Teaching Tutorials": https://www.youtube.com/playlist?list... "Types of Nursing Specialties": https://www.youtube.com/playlist?list... "Healthcare Salary Information": https://www.youtube.com/playlist?list... "New Nurse Tips": https://www.youtube.com/playlist?list... "Nursing Career Help": https://www.youtube.com/playlist?list... "EKG Teaching Tutorials": https://www.youtube.com/playlist?list... "Personality Types": https://www.youtube.com/playlist?list... "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list... "Diabetes Health Managment": https://www.youtube.com/playlist?list...

Diabetic Hyperosmolar Syndrome

Print Overview Diabetic hyperosmolar (hi-pur-oz-MOE-lur) syndrome is a serious condition caused by extremely high blood sugar levels. The condition most commonly occurs in people with type 2 diabetes. It's often triggered by illness or infection. As a result of diabetic hyperosmolar syndrome, your body tries to rid itself of the excess blood sugar by passing it into your urine. Left untreated, diabetic hyperosmolar syndrome can lead to life-threatening dehydration. Prompt medical care is essential. Symptoms Diabetic hyperosmolar syndrome can take days or weeks to develop. Possible signs and symptoms include: Blood sugar level of 600 milligrams per deciliter (mg/dL) or 33.3 millimoles per liter (mmol/L) or higher Excessive thirst Dry mouth Increased urination Warm, dry skin Fever Drowsiness, confusion Hallucinations Vision loss Convulsions Coma When to see a doctor Consult your doctor if your blood sugar is persistently higher than the target range your doctor recommends, or if you have signs or symptoms of diabetic hyperosmolar syndrome, such as: Excessive thirst Increased urination Warm, dry skin Dry mouth Fever Seek emergency care if: Your blood sugar level is 400 mg/dL (22.2 mmo Continue reading >>

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  1. [deleted]

    So I started this diet in June. I was a 280 lb blimp back then. Now I'm 197ish and am very happy with the way I look. So obviously the weight loss aspect of it has worked.
    However, I've felt like complete crap this entire time. I have a total lack of energy, I can barely stay up past 9 anymore. I get tired very easily. I haven't experienced a single one of the tons of perks people on keto talk about, aside from the weight loss.
    It's gotten really bad lately. I have been constantly sick for what feels like a month now. Had a flu, then an awful fever. When I had that fever I threw up 7-8 lbs of just liquids that I never put back on. I think that really threw me off. That was about 10 or so days ago and lasted a while.
    Now I'm sick again. I feel like I'm on the verge of death. I never used to get sick like this or feel like this.
    Any ideas what could be wrong?

  2. Center60

    Go see a doctor. Keto is not as important as your well being. You have lost a ton of weight already.

  3. pavlovs_log

    Instead of a lot of arm-chair doctoring that goes on in this forum, this should be the #1 comment. I do keto and I love it, but I think the attitude of this sub is that keto makes you immune to all possible diseases and conditions, so if OP is feeling bad he must be doing something wrong.
    OP. Call your doctor and tell him/her you'd like to schedule a physical. Ask if they can order fasting bloodwork a week or two before the physical so you can look at and discuss the results with your doctor. Be open about your diet, and your lifestyle without holding anything back.

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Hyperglycemic crises: Hyperglycemic hyperosmolar nonketotic coma (HHNK) versus DKA. See DKA video here: https://youtu.be/r2tXTjb7EqU This video and similar images/videos are available for instant download licensing here https://www.alilamedicalmedia.com/-/g... Voice by: Penelope Hammet Alila Medical Media. All rights reserved. All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia Hyperosmolar hyperglycemic state, or HHS, is another ACUTE and life-threatening complication of diabetes mellitus. It develops slower than DKA, typically in the course of several days, but has a much higher mortality rate. Like DKA, HHS is triggered when diabetic patients suffer from ADDITIONAL physiologic stress such as infections, other illness, INadequate diabetic treatment or certain drugs. Similar to DKA, the RISE in COUNTER-regulatory hormones is the major culprit. These hormones stimulate FURTHER production and release of glucose into the blood, causing it to overflow into urine, resulting in excessive LOSS of water and electrolytes. The major DIFFERENCE between HHS and DKA is the ABSENCE of acidosis in HHS. This is because, unlike DKA, the level of insulin in HHS patients is HIGH enough to SUPPRESS lipolysis and hence ketogenesis. This explains why HHS occurs more often in type 2 diabetics, who have more or less normal level of circulating insulin. Reminder: type 2 diabetics DO produce insulin but their cells do NOT respond to insulin and therefore cannot use glucose. Because symptoms of acidosis are NOT present, development of HHS may go UNnoticed until blood glucose levels become EXTREMELY high. Severe dehydration results in INcreased concentrations of solutes in the blood, raising its osmolarity. HyPERosmotic blood plasma drives water OUT of bodys tissues causing cellular dysfunction. Primary symptom of HHS is ALTERED consciousness due to excessive dehydration of brain tissues. This can range from confusion to coma. Emergency treatment consists of intravenous fluid, insulin and potassium similar to those used in DKA.

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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  1. Craig Stephenson

    So....apparently I have placed my self in a state of ketosis by loosely following the paleo diet....(very limited grains, and or processed foods) I base this on the fact that my wife finds my breath similar to sucking on a sock soaked in paint thinner....
    I have spent some time researching this topic both here on the board and elsewhere on the web....still, I am confused. Some say its bad, some say its not.....some say protein sparing, some say liver damaging.....
    Does anyone really know? Am I in a happy place?... or should I be concerned that my brain and liver are going to revolt against me? I might add that I was not necessarily trying to obtain ketosis....I am 6'3" 200# ~11% BF....so I am not really trying to loose wt...I caught the paleo bug and like how I feel following it....however....if it is causing this ketosis and it is "bad"...maybe I need to re-evaluate or at least adjust what I am doing.
    Anybody have any advice??
    Thanks
    Craig "ELI" Stephenson

  2. Sarah Clent

    How is your body feeling?
    Do you feel lethargic? Full of energy? Unusual soreness after workouts? etc?
    Do you eat alot of fruit and veg?
    I have done the atkins diet in the past and been in ketosis... I didnt harm my body but it seems its mainly for weight loss? And it seems you dont need weight loss
    I am loosley following paleo in zone and i havent tested if i am in ketosis... would be interesting to see as i have cut all wheat and grains (except corn) for the last week... As for it harming you, i guess you need to work out how your body is feeling... if you are feeling good and healthy and if you are eating alot of veggies and fruit and lean meat... i dont see how it could be damaging to you? your body might just have a higher requirement for carbs?

  3. Frank E Morel

    Quote:

    Originally Posted by Craig Stephenson
    So....apparently I have placed my self in a state of ketosis by loosely following the paleo diet....(very limited grains, and or processed foods) I base this on the fact that my wife finds my breath similar to sucking on a sock soaked in paint thinner....
    I have spent some time researching this topic both here on the board and elsewhere on the web....still, I am confused. Some say its bad, some say its not.....some say protein sparing, some say liver damaging.....
    Does anyone really know? Am I in a happy place?... or should I be concerned that my brain and liver are going to revolt against me? I might add that I was not necessarily trying to obtain ketosis....I am 6'3" 200# ~11% BF....so I am not really trying to loose wt...I caught the paleo bug and like how I feel following it....however....if it is causing this ketosis and it is "bad"...maybe I need to re-evaluate or at least adjust what I am doing.
    Anybody have any advice??
    Thanks
    Craig "ELI" Stephenson well you must be cycling in and out of ketosis as if your inconstant state of ketosis.. you get a really bad case of brain fog. Out of ketsis, your giving your brain enough glucose/carbs for it to function.
    cardiac arrthymias from electrolyte imbalances, increased risk of osteoporosis from urinary calcium losses, gout, kidney stones and nausea, lethargy and general weakness associated with prolonged ketosis. not many studies address this but there is enough anecdotal events ( mass famines ) that its not a wise thing to in for a prolonged period.
    http://www.ajur.uni.edu/v4n1/Harris%...0pp%201-18.pdf wfs warning ..boring

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