What is the difference between DKA and HHNK?
DKA typically evolves within a few hours, whereas HHNS is much slower and occurs over days to weeks, according to 2021 research . The two conditions look similar because of the hyperglycemia component of each condition. Knowing the symptoms of each can help you seek medical care as soon as possible.
What is HHNK in diabetes?
Overview. Diabetic hyperosmolar (hi-pur-oz-MOE-lur) syndrome is a serious condition caused by extremely high blood sugar levels. The condition most commonly occurs in people with type 2 diabetes. It’s often triggered by illness or infection.
What is Nonketotic hyperosmolar coma?
Nonketotic hyperosmolar coma is characterized by extremely high plasma glucose without acidosis. Glucose values can exceed 1000 mg/dl, which constitutes sufficient osmolar load to produce significant changes in water compartmentalization. Symptoms generally include polyuria and polydipsia with obtundation or lethargy.
What does Nonketotic mean?
: not associated with ketosis nonketotic coma.
What causes HHNK?
HHNS is typically brought on by: An infection, such as pneumonia or a urinary tract infection. Poor management of blood sugar and/or not taking diabetes medications as prescribed. Taking certain medications, such as glucocorticoids (which alter glucose levels) and diuretics (which increase urine output)
What conditions contribute to HHNK?
What causes hyperosmolar hyperglycemic syndrome (HHS)?
- Have an illness or infection, such as pneumonia or a urinary tract infection.
- Stop taking medication to manage their diabetes.
- Have a heart attack or stroke.
- Take certain medications—such as steroids or diuretics—that can cause the syndrome.
How is HHNK diagnosed?
Diagnostic Testing Initial laboratory findings in patients with HHS include marked elevations in blood glucose levels (greater than 600 mg per dL [33.3 mmol per L]) and in serum osmolarity (greater than 320 mOsm per L of water [normal = 290 ± 5]), with a pH level greater than 7.30 and mild or absent ketosis.
Is dry mouth part of diabetes?
One of the most common symptoms of diabetes is dry mouth, or xerostomia. Dry mouth is a common symptom in both type 1 and type 2 diabetes. Not everyone with diabetes will experience it, though. You can also have dry mouth if you don’t have diabetes.
How do you treat HHS?
Treatment of HHS Treatment is 0.9% (isotonic) saline solution at a rate of 15 to 20 mL/kg/hour, for the first few hours. After that, the corrected sodium should be calculated. If the corrected sodium is < 135 mEq/L (< 135 mmol/L), then isotonic saline should be continued at a rate of 250 to 500 mL/hour.
What happens in HHS?
HHS occurs when the blood sugar of a person with diabetes becomes too high (hyperglycemia) for a long time. The extra sugar is passed into the urine, which causes the person to urinate frequently. As a result, he or she loses a lot of fluid, which can lead to severe dehydration (extreme thirst).
What is HHS vs DKA?
DKA is characterized by ketoacidosis and hyperglycemia, while HHS usually has more severe hyperglycemia but no ketoacidosis (table 1). Each represents an extreme in the spectrum of hyperglycemia.
What does hhnk stand for?
HHNK stands for Hyperglycemic Hyperosmolar Non- Ketosis . Suggest new definition. This definition appears very rarely and is found in the following Acronym Finder categories: Science, medicine, engineering, etc.
What is hhnk diabetes?
Hyperosmolar Hyperglycemic Nonketotic Syndrome, or HHNS, is a serious condition most frequently seen in older persons. HHNS can happen to people with either type 1 or type 2 diabetes that is not being controlled properly, but it occurs more often in people with type 2.