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What is a hyperosmolar nonketotic coma?

9 doctors weighed in
Dr. Mark Safford
Critical Care
5 doctors agree

In brief: 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.

In brief: 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.
Dr. Mark Safford
Dr. Mark Safford
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Dr. Alvin Fried
Internal Medicine - Diabetology
4 doctors agree

In brief: Very high sugar

This condition occurs when the blood sugar is very high, usually above 5-600 and can be over 1000.
When the sugar is this high usually causes a state of severe dehydration and that leads to mental changes and sometimes coma. It should be treated immediately in a hospital setting with intravenous Insulin and fluids.

In brief: Very high sugar

This condition occurs when the blood sugar is very high, usually above 5-600 and can be over 1000.
When the sugar is this high usually causes a state of severe dehydration and that leads to mental changes and sometimes coma. It should be treated immediately in a hospital setting with intravenous Insulin and fluids.
Dr. Alvin Fried
Dr. Alvin Fried
Thank
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