Table of Contents
How does HHS happen?
Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis. Symptoms include signs of dehydration, weakness, leg cramps, vision problems, and an altered level of consciousness.
What is the treatment for HHS?
Emergency treatment can correct diabetic hyperosmolar syndrome within hours. Treatment typically includes: Intravenous fluids to counter dehydration. Intravenous insulin to lower your blood sugar levels.
How is hyperosmolar hyperglycemic state diagnosed?
Current diagnostic HHS criteria include a plasma glucose level >600 mg/dL and increased effective plasma osmolality >320 mOsm/kg in the absence of ketoacidosis. The incidence of HHS is estimated to be <1% of hospital admissions of patients with diabetes.
How is HHS and DKA treated?
Diabetic ketoacidosis signs and symptoms often develop quickly, sometimes within 24 hours.