Diabetic hyperglycemic hyperosmolar coma

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Food and insulin release

Overview

Symptoms

Treatment

Prevention

Diabetic hyperglycemic hyperosmolar coma

Alternative Names:

Nonketotic hyperglycemic coma; NKHHC; HONK - hyperosmolar non-ketotic coma

Symptoms:

The onset of symptoms may be over a period of days or weeks.

Additional symptoms that may be associated with this disease:

Speech impairment
Loss of feeling or function of muscles
Dysfunctional movement

Signs and tests:

Vital signs (temperature, pulse, rate of breathing, blood pressure):

Temperature -- higher than 38 degrees Centigrade (100.4 degrees Fahrenheit)
Heart rate -- greater than 100
Systolic blood pressure -- low (less than 100)

Tests:

Blood glucose -- severely elevated (from 600 to 2,400 mg/dL)
Elevated serum osmolarity
Elevated serum sodium
Evaluation for possible underlying causes

Review Date: 8/6/2004
Reviewed By: Aniket R. Sidhaye, M.D., Division of Endocrinology and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network.

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