Hyperglycemic Hyperosmolar State (HHS) also known as non-ketotic hyperglycemic hyperosmolar syndrome (NKHS) is typically associated with Type II DM and results from a relative insufficiency of insulin that cannot overcome the insulin resistance that occurs in patients with Type II DM. Patients who develop HHS retain some capacity to synthesize and respond to Insulin, resulting in a milder clinical syndrome that DKA. It usually develops after a period of symptomatic hyperglycemia in which fluid intake is inadequate to prevent extreme dehydration due to the hyperglycemia-induced osmotic diuresis. The primary symptom of HHS is altered consciousness varying from confusion or disorientation to coma, usually as a result of extreme dehydration in the absence of ketoacidosis with or without prerenal azotemia, hyperglycemia, and hyperosmolality. Risk factors include A stressful event such as infection, heart attack, stroke, or recent surgery,Impaired thirst.
Related Journals to Hyperglycemic Hyperosmolar State
Diabetes Case Reports, Journal of Diabetes Investigation, Journal of Diabetes and Metabolic Disorders, Diabetology International, Current Diabetes Reports, Journal of Hypo & Hyperglycemia, Journal of Diabetes medication & care, Acta Diabetologica, Journal of Diabetes medication & care, Journal of Nephrology & Therapeutics