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What Causes A Hyperosmolar Hyperglycemic State
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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