Pavilion Health Today
Supporting healthcare professionals to deliver the best patient care

Case study: hyperosmolar hyperglycaemic state

Hyperosmolar hyperglycaemic state (HSS) occurs in people with type 2 diabetes who develop high blood glucose levels, usually due to illness or dehydration. This case report discusses a 73-year-old woman who developed HSS after a fall.

Hyperosmolar Hyperglycaemic State (HHS) typically affects known type 2 diabetic patients who suffer from a precipitating illness which impedes the persons fluid balance leading to dehydration accompanied by high blood glucose levels (over 30mmol/L, more frequently over 40mmol/L). 1 Infection is the most common precipitating illness, but many other conditions, such as trauma or stroke, can cause this state. 2,3 Although HHS accounts for less than 1% of diabetic associated admissions, it carries a high mortality rate of 5-20%. 4-5 Previously called hyperosmolar hyperglycaemic nonketotic coma (HHNC); HHS more often presents without altered consciousness however there is a correlation between


This content is restricted to members of Pavilion Health Today. If you are an existing user, please log in. New users may register for free below.

Existing Users Log In
New User Registration
*Required field

This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Accept Read more ...

Privacy & Cookies Policy