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Hyperosmolar Hyperglycemic State In Children
Hyperosmolar hyperglycemic state is a complication of diabetes mellitus in which high blood glucose levels cause severe dehydration and an increase in serum osmolarity (relative concentration of solute); it is associated with a high risk of complications, including possible coma and death. It is related to diabetic ketoacidosis (dka), another complication of diabetes, but lacks ...Read more
See answer details.: Hyperosmolar hyperglycemic state is a complication of diabetes mellitus in which high blood glucose levels cause severe dehydration and an increase in serum osmolarity (relative concentration of solute); it is associated with a high risk of complications, including possible coma and death. It is related to diabetic ketoacidosis (dka), another complication of diabetes, but lacks the ketones of dka. ...Read more
Insulin and acidosis: Hi. DKA is an insulin deficient state that contrary to lay bias, occurs in both type 1's AND type 2's. The nonketotic hyperosmolar, hyperglycemic state is a condition that occurs in type 2's; they have enough insulin to prevent ketoacidosis but not enough to prevent profound hyperglycemia and hyperosmolarity. It takes FAR LESS insulin to prevent ketoacidosis than it does to prevent hyperglycemia. ...Read more
Many: The most obvious sign of a hyperosmolar hyperglycemic state is an alteration in mental status or functioning. People may become lethargic or drowsy, confused, or even delirious. In severe cases a person may become unresponsive. Occasionally they can have seizures, visual problems, and movement or sensory problems. This is a dangerous condition that need immediate medical attention. ...Read more
Dehydration: If you have type 2 diabetes that gets very out of control due to infection, stress, surgery, cortisone or other factors, you can become severely dehydrated as well as have a very high glucose. This can even lead to coma, with an up to 50% morbidity if not treated quickly and effectively with large amounts of IV fluids, a small amount of insulin, control of the original cause and adjustment of elec. ...Read more
Coma due to diabetes: By your question I will assume he is in the hospital. This condition is due to poor control of diabetes either due to not taking medications or as a result of some inciting condition like infection amongst others, a better controll of diabetes will help prevent this. In summary it's a coma caused by caused by high glucose. ...Read more
Diabetic emergency: Hyperosmolar coma is a medical emergency seen in type ii diabetics when the blood sugar reaches extremely high levels, typically higher than 600 mg/dl. Often it is precipitated by a physiologic stress such as infection, myocardial infarction, stroke or other acute illness. The very high blood glucose may lead to disordered mental functioning with possible seizures then to coma and death. ...Read more
Endocrine emergencie: Honk or hyperosmolar nonketotic coma is when glucose levels rise above 4-500 and other electrolytes become grossly abnormal. This results in water loss and a very high concentration of solutes in the blood. (hyperosmolar component). The elevated glucose levels do not cause the production of ketones as happens in DKA and that is the non-ketotic component. This is a medical emergency. ...Read more
Hyperglycemia: Symptoms of hyperglycemia can include feeling tired, thirstiness, increased urination, blurry vision or headache. Symptoms with ketoacidosis can include: weakness, confusion, dry mouth, nausea, vomiting, difficulty breathing, breath which smells like fruit & abdominal pain. ...Read more
Here are some...: Hyperosmolar diuresis is specifically related with poorly controlled hyperglycemia leading to severe dehydration, electrolyte imbalance, etc. Resulting in manifesting the following symptoms: high fever, weakness, drowsiness, altered mental state, headache, restlessness, inability to speak, visual problems, hallucinations, & paralysis. So, make sure of having good control of blood glucose. ...Read more
Yes: Mannitol is osmotic agent utilized to raised the serum osmolality and actually takes fluid from healthy neurons to make room for damaged neurons to swell. Another agent utilized in certain institutions is 3% nacl solution which again raises the serum osmolality for the same reason. Osmolarity is mol/kg and osmolality is mol/kg which is what is used in medicine. ...Read more
Treatment: You need to discuss with your doctor. You may need to have your medication adjusted. High blood sugars are exacerbated by anything with calories if not properly treated. Anything without calories won't affect your blood sugar directly. However, your liver will continue to manufacture an abnormal amount of glucose without proper treatment. ...Read more
Depends: Controlling blood sugars aggressively during pregnancy does have a positive impact on the baby. Generally the levels of blood glucose that we want in pregnancy are much lower than what is sought in nonpregnant individuals. Generally your fastings should be around 90 and your one hour post meal glucose should be under 140 at least but ideally lower. You need to move quickly to control your sugar. ...Read more
Experiencing hypoglycemia (2.4mmol/dl) 2-3 hours after meal, eat something small then become hyperglycemic (14) shortly followed by hypoglycemia again?
I have been diagnosed as hyperglycemic. I researched but managing it causes me frustration. Exactly, how is it managed? What is it? Are my extreme sugar cravings associated with it? Help
Pretty much: As used in clinical medicine.Get a more detailed answer ›
How could I have to type 2 diabetes two months ago and then have my blood taken and it shows I am hyperglycemic now?
Diabetes: Do you mean hypo or hyperglycemic? There is a big difference. ...Read more
Out of tubular fluid to medulla at collecting and distal duct to create a hyperosmolarity condition, what does this mean?
Probably neither: It is probably not due to elevated or depressed blood sugar itself but rather the neuroendocrine response to carbohydrate ingestion. In other words, the physiological response to carbohydrates that results in Insulin secretion and other regulatory bodily processes is most likely what causes your sleepiness and lethargy, not the blood sugar level itself. ...Read more
Too much blood sugar: Elevated levels of glucose in the bloodstream causes the body to absorb more free water from the surrounding cells and tissue into the blood, in an attempt to 'normalize' the blood constituents. This results in increased volume load to the kidneys (increased urination) & dehydration (excess thirst). The cycle continues to worsen, unless the underlying cause is addressed. ...Read more