What is diabetic hyperosmolar syndrome?
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.
What is the difference between diabetic ketoacidosis and hyperosmolar nonketotic syndrome?
DKA is characterized by ketoacidosis and hyperglycemia, while HHS usually has more severe hyperglycemia but no ketoacidosis (table 1). Each represents an extreme in the spectrum of hyperglycemia. The precipitating factors, clinical features, evaluation, and diagnosis of DKA and HHS in adults will be reviewed here.
How is hyperosmolar hyperglycemic nonketotic syndrome treated?
Treatment typically includes: Fluids given through a vein (intravenously) to treat dehydration. Insulin given through a vein (intravenously) to lower your blood sugar levels. Potassium and sometimes sodium phosphate replacement given through a vein (intravenously) to help your cells function correctly.
How is honk diagnosed?
According to the American Diabetes Association, diagnostic features include: Plasma glucose level >30 mmol/L (>600 mg/dL) Serum osmolality >320 mOsm/kg. Profound dehydration, up to an average of 9L (and therefore substantial thirst (polydipsia))
What causes hyperosmolar hyperglycemic nonketotic syndrome?
Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is a potentially deadly condition that can develop as a result of infection or illness in people with uncontrolled type 2 diabetes or when diabetes medications aren’t taken as directed. Some also refer to this as a “diabetic coma.”
What does honk stand for in diabetes?
HHS is a potentially life-threatening emergency It does not usually lead to the presence of ketones in the urine, as occurs in diabetic ketoacidosis (DKA), which is why it was previously referred to as HONK (hyperglycaemic hyperosmolar non-ketotic coma).
Is HHS the same as honk?
Hperglycemic hyperosmolar state (HHS) previously known as hyperosmolar nonketotic (HONK) coma is a syndrome characterized by extreme elevations in serum glucose concentrations, hyperosmolality and dehydration without significant ketosis (1,2).
What is hhnk medical diagnosis?
HHNKC is an emergency that requires immediate medical care. The condition may be diagnosed via blood glucose test or via testing the body’s water balance and electrolyte levels, like in a serum osmolality test.
What is hhnk medical?
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.
What is hhnk diabetes?
Hyperglycemic hyperosmolar nonketotic coma (HHNKC) is an extremely serious complication of type 2 diabetes, most often occurring in those who are non-insulin dependent. It is also known as diabetic coma.
Hyperosmolar syndrome or diabetic hyperosmolar syndrome is a medical emergency caused by a very high blood glucose level . The prefix “hyper” means high, and ” osmolarity ” is a measure of the concentration of active particles in a solution, so the name of the syndrome simply refers to the high concentration of glucose in the blood.