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Diabetic hyperglycemic hyperosmolar coma |
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| Alternative Names: | Nonketotic hyperglycemic coma; NKHHC; HONK - hyperosmolar non-ketotic coma
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| Treatment: | The goal of treatment is to correct the dehydration, which will improve the blood pressure, urine output, and poor circulation. Fluids and potassium are replaced by intravenous therapy. High glucose levels are treated with intravenous insulin.
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| Expectations (prognosis): | The death rate associated with this condition is up to 40%.
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| Complications: | - Acute circulatory collapse (shock)
- Blood clot formation
- Brain swelling (cerebral edema)
- Increased blood acid levels (lactic acidosis)
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| Calling your health care provider: | This condition is a medical emergency! Go to the emergency room or call the local emergency number (such as 911) if signs or symptoms of diabetic hyperglycemic hyperosmolar coma develop.
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Review Date: 7/26/2002
Reviewed By: Todd T. Brown, M.D., Division of Endocrinology and Metabolism, Johns Hopkins Hospital, Baltimore, MD. Review provided by VeriMed Healthcare Network.
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