Diabetic hyperglycemic hyperosmolar syndrome

HHS is a condition of:

• Extremely high blood sugar level
• Extreme lack of water (dehydration)
• Decreased alertness or consciousness (in many cases)

A buildup of ketones in the body (ketoacidosis) may also occur, but it is unusual and is often mild compared with V体育ios版 - diabetic ketoacidosis V体育安卓版. .

HHS is more often seen in people with type 2 diabetes who don't have their diabetes under control V体育ios版. It may also occur in those who have not been diagnosed with diabetes. The condition may be brought on by:.

• Infection
• Other illness, such as heart attack or stroke
• Medicines that decrease the effect of insulin in the body
• Medicines or conditions that increase fluid loss
• Running out of, or not taking prescribed diabetes medicines

Normally, the kidneys try to make up for a high glucose level in the blood by allowing the extra glucose to leave the body in the urine. But this also causes the body to lose water VSports最新版本. If you do not drink enough water, or you drink fluids that contain sugar and keep eating foods with carbohydrates, you become very dehydrated. When this occurs, the kidneys are no longer able to get rid of the extra glucose. As a result, the glucose level in your blood can become very high, sometimes more than 10 times the normal amount.

The loss of water also makes the blood more concentrated than normal. This is called hyperosmolarity V体育平台登录. It is a condition in which the blood has a high concentration of salt (sodium), glucose, and other substances. This draws the water out of the body's other organs, including the brain.

Risk factors include:

• A stressful event such as infection, heart attack, stroke, or recent surgery
• Heart failure
• Impaired thirst
• Limited access to water (especially in people with dementia or who are bedbound)
• Older age
• Poor kidney function
• Poor management of diabetes, not following the treatment plan as directed
• Stopping or running out of insulin or other medicines that lower glucose level