Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)
Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) can occur when blood glucose levels exceed 600 mg/dl (33.3 mmol/l), but ketosis (ketone bodies in the blood) is not present. With such high blood sugars, the body becomes severely dehydrated. HHNS occurs most often in the elderly and people who are on medications that raise blood glucose levels. Impaired kidney function is also a risk factor.
HHNS is a life-threatening condition. If you experience any of the following symptoms of the syndrome, seek emergency medical care immediately:
- Excessive thirst and dehydration
- Nausea and vomiting
- Disorientation and confusion
- Sudden hypotension, or low blood pressure (as evidenced by faintness)
- Visual problems
- Extreme, unexplained fatigue
- In advanced cases, coma, seizure, and/or hemiplegia (paralysis on one side of the body)
Treatment for HHNS involves administering intravenous fluids (i.e., saline and sometimes electrolyte solutions) to restore fluid balance. Insulin therapy may also be required.
Reviewed by Francine Kaufman, MD. 4/08
Corn Bread Sticks Tangy Sour Peppers Pork with Mustard Sauce Pasta Skillet Cakes Turkey Sloppy Joes Tomatillo Sauce Lemon and Garlic Summer Squash Wine-Braised Cabbage Venison Liverwurst North African Spiced Soup
As the thoughts of adoption cross my mind, I have a nagging on my heart that reminds me that I am not alone in this. Not alone in a positive way that I have the support of my husband and I'm building a great medical team to help me tackle any fertility challenges that come along. But not alone in that it's not just my emotions and desires that dictate how, when, or if I have children. Yesterday, I was chatting with a volunteer at work. He and his wife have a two year old and we...