Diabetic Hyperglycemic Hyperosmolar coma

Alternative names:

NKHHC; nonketotic hyperglycemic coma

Treatment:

The goal of treatment is to correct the dehydration which will correspondingly improve the blood pressure, low urine output, and poor circulation. Fluids and potassium are replaced by intravenous therapy. High glucose levels are treated with regular insulin, a short acting insulin preparation.

Expectations (prognosis):

The death rate associated with this condition is greater than 50%.

Complications:

• acute circulatory collapse

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.