How is a hyperosmolar hyperglycemic nonketotic coma treated?

Insulin: It is treated with an intravenous drip of Insulin and attention to proper fluid replacement. It is a potentially serious condition and should only be treated in the hospital, however, the treatment is usually sucessful. It happens when the sugar becomes very high, frequently over 5-600.

Coma: It should be treated in an intensive care unit (ICU) with close monitoring of the blood glucose and other electrolytes (salts) and treatment to slowly decrease the blood glucose.

Insulin and fluid: Insulin and saline are administered intravenously and other medications added depending on the clinical findings and lab tests.