Hyperosmolar Hyperglycaemic State

Author: Mehdi Teeli, Rafeeq Ahmed Sulaiman / Editor: Lauren Fraser / Codes: / Published: 08/11/2022

Hyperosmolar hyperglycaemic State (HHS) is a common presentation to the emergency department (ED). The presentation can mimic many other disease processes. The ED physician must be able to diagnose, appropriately investigate, initiate treatment, and manage complications.

Learning Objectives

By the end of this session, you will be able to:

• Differentiate Hyperosmolar Hyperglycaemic State (HHS) from other causes of acute illness
• Interpret the results of appropriate investigations in HHS
• Plan the initial management of a patient with HHS
• Anticipate complications of HHS and their management
• Evaluate the factors which contribute to the presentation, and response to treatment, of HHS

References

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Additional resources

• Adeyinka A, Kondamudi NP. Hyperosmolar Hyperglycemic Syndrome. [Updated 2022 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.
• Avichal D. Hyperosmolar Hyperglycemic State. Medscape. Updated in 2021.