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Hyperglycemic Hyperosmolar Nonketotic Syndrome



Hyperglycemic Hyperosmolar Nonketotic Syndrome: Introduction

Whereas highs in Type 1 diabetics lead to ketones and blood acidity that causes DKA, Type 2 diabetics tend to get highs without ketones leading to HHNS. HHNS is a form of high blood sugars that occurs with Type 2 diabetes, whereas ketosis is more common with Type 1 diabetes. It is quite different from the "ketosis" or "ketoacidosis" that occurs from ketones in highs, but almost as dangerous. HHNS occurs more commonly in Type 2 diabetics who retain enough pancreas function to avoid ketones, but who can still go dangerously high. Being high for prolonged periods causes severe dehydration from frequent urination.

HHNS can occur in any form of diabetes whether it is diet-only, diabetes pills, or insulin treated. HHNS is often discovered when a Type 2 diabetic is diagnosed. This occurs in cases where Type 2 diabetes gets quite advanced without being diagnosed.

Symptoms of Hyperglycemic Hyperosmolar Nonketotic Syndrome

See full list of 15 symptoms of Hyperglycemic Hyperosmolar Nonketotic Syndrome

Home Diagnostic Testing

Home medical testing related to Hyperglycemic Hyperosmolar Nonketotic Syndrome:

Medical Textbooks Online about Hyperglycemic Hyperosmolar Nonketotic Syndrome

Medical Books Excerpts
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • "In a Page: Signs and Symptoms" (2004)
  • "In A Page: Pediatric Signs and Symptoms" (2007)
  • "Differential Diagnosis in Primary Care" (2007)
  • "Handbook of Signs & Symptoms (Third Edition)" (2006)
  • "A Pocket Manual of Differential Diagnosis" (1999)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • "Professional Guide to Signs & Symptoms (Fifth Edition)" (2006)
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • "Handbook of Diseases" (2003)
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • "Signs & Symptoms: A 2-in-1 Reference for Nurses" (2007)
  • "Nursing: Interpreting Signs and Symptoms" (2007)
  • "Differential Diagnosis in Primary Care" (2007)
  • "Avoiding Common Pediatric Errors" (2008)

Book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

Diagnostic Tests for Hyperglycemic Hyperosmolar Nonketotic Syndrome

Test for Hyperglycemic Hyperosmolar Nonketotic Syndrome in your own home

Click for Tests
  • Blood sugar test - check for very high blood sugars
  • Symptom analysis: dehydration - a check of the symptoms, especially those of dehydration, lead to the doctor to suspect either DKA or HHNS.
  • Symptoms: nausea/vomiting - If the patient is nauseous or vomiting, DKA is suspected. If not, HHNS is more likely.
  • Urine ketone tests - The presence of ketones in the urine can indicate DKA. Lack of ketones probably means HHNS.
  • Blood ketone tests - Blood tests to analyze ketones and acidity in the blood can help confirm DKA versus HHNS.
  • more tests...»

See full list of 6 diagnostic tests for Hyperglycemic Hyperosmolar Nonketotic Syndrome

Wrongly Diagnosed with Hyperglycemic Hyperosmolar Nonketotic Syndrome?

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Self Assessment Tools

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Medical Mistakes

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Marketplace Products, Discounts & Offers

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Hyperglycemic Hyperosmolar Nonketotic Syndrome: Undiagnosed Conditions

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Misdiagnosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome

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Hyperglycemic Hyperosmolar Nonketotic Syndrome: Research Doctors & Specialists

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Hospitals & Clinics: Hyperglycemic Hyperosmolar Nonketotic Syndrome

Research quality ratings and patient safety measures for medical facilities in specialties related to Hyperglycemic Hyperosmolar Nonketotic Syndrome:

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Choosing the Best Hospital: More general information, not necessarily in relation to Hyperglycemic Hyperosmolar Nonketotic Syndrome, on hospital performance and surgical care quality:

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Rare Types

Rare types of diseases and disorders in related medical categories:

Causes of Hyperglycemic Hyperosmolar Nonketotic Syndrome

  • Diabetes
  • Type 2 diabetes
  • High blood sugars - leading to the kidneys over-filtering water, leading to excessive urination, leading to dehydration.
  • Too little water - failure to drink enough water can contribute to the dehydration that is a hallmark of HHNS. This can occur when the elderly lose their sense of thirst, making HHNS occur somewhat too frequently in nursing homes.
  • Intravenous feeding - can contribute because it involves lots of glucose, which might make you go high.
  • more causes...»

See full list of 10 causes of Hyperglycemic Hyperosmolar Nonketotic Syndrome

More information about causes of Hyperglycemic Hyperosmolar Nonketotic Syndrome:

Treatments for Hyperglycemic Hyperosmolar Nonketotic Syndrome

  • Hospitalization - HHNS can be severe enough to require hospitalization, especially if occurring in a newly diagnosed diabetic.
  • Lowering blood sugars - Extreme HHNS requires gradual blood sugar lowering in a hospital setting. Milder HHNS can be treated mainly by reducing blood sugars using insulin.
  • Fluid replacement - Fluids such as water are required to replace the lost fluid and fix the dehydration.
  • Treat metabolic imbalances - HHNS is a severe condition that can cause other metabolic changes. Hospital care will test and address other chemical imbalances.
  • Treat the underlying cause - Once the main symptoms are alleviated, it is important to identify what caused the HHNS, so as to avoid it recurring. A common cause is that the patient is diabetic, but did not know they were.
  • more treatments...»

See full list of 6 treatments for Hyperglycemic Hyperosmolar Nonketotic Syndrome

Evidence Based Medicine Research for Hyperglycemic Hyperosmolar Nonketotic Syndrome

Medical research articles related to Hyperglycemic Hyperosmolar Nonketotic Syndrome include:

Click here to find more evidence-based articles on the TRIP Database

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Patient Surveys for Hyperglycemic Hyperosmolar Nonketotic Syndrome

Reseach about Hyperglycemic Hyperosmolar Nonketotic Syndrome

Visit our research pages for current research about Hyperglycemic Hyperosmolar Nonketotic Syndrome treatments.

Prevention of Hyperglycemic Hyperosmolar Nonketotic Syndrome

Prevention information for Hyperglycemic Hyperosmolar Nonketotic Syndrome has been compiled from various data sources and may be inaccurate or incomplete. None of these methods guarantee prevention of Hyperglycemic Hyperosmolar Nonketotic Syndrome.

  • Blood sugar control - The only prevention is to control blood sugars. Avoiding going high for prolonged periods will avoid HHNS. Monitoring blood sugars usually means that no-one gets HHNS once they are diabetic. HHNS only occurs in diabetics if they neglect basic blood sugar monitoring.
  • Careful blood sugar control - Tricky days include Sick days, injury, surgery, etc. You can get HHNS on days where the blood sugars get too high, like sick days, surgery recovery, or high stress. So make sure to monitor blood sugars more carefully on these high-risk days.
  • more preventions...»

Read more about prevention of Hyperglycemic Hyperosmolar Nonketotic Syndrome

Stories from Users Related to Hyperglycemic Hyperosmolar Nonketotic Syndrome

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