Hyperosmolar Hyperglycemia Syndrome

Question 1

HHS occurs in who 1 or 2
Over what age?

Answer 1

Type 2 diabetes
60

Question 2

What are some common causes of HHS? (5)

Answer 2

UTI, pneumonia, sepsis
Unmanaged DM2
Impaired thrist sensation
High glucose > 600
Neurologic manifestations

Question 3

HHS is what emergency?

Answer 3

Medical

Question 4

Notes
Therapy similar to DKA
- Iv insulin and NACI infusion
- more fluid replacement
- monitor fluid and potassium
- correct underlying cause