Type 2 Diabetes Complications: Hyperosmolar Hyperglycemic State
Most diabetic patients are familiar with the diabetic complicaton called DKA, or diabetic ketoacidosis. These patient also know that diabetic ketoacidosis (DKA) affects type one diabetic who have very high blood sugar levels. What many type 2 diabetics may not know is that when their sugars get too high, they can have a diabetic complication called hyperosmolar hyperglycemic state.
Hyperosmolar hyperglycemic state (HHS) differs from diabetic ketoacidosis in that when these patients have excessively high sugar levels, there is still some insulin production within the patient's own body. Because of this insulin, ketones are not produced and ketoacidosis does not occur. Hypsomolar hyperglycemia state occurs when patients with type 2 diabetes have very high blood sugar levels and dehydration. This can occur when abnormal blood sugar levels go above 600 mg/dl.
สอนสดเขียนเว็บ ฟรี OnlineHyperosmolar hyperglycemic state (HHS) is most common in type 2 diabetic patients who are elderly or have an acute illness. Patients with pneumonia, viral illnesses or kidney diseases are at higher risk than most type 2 diabetic patients. Certain medications can place patients at higher risk for this condition because they decrease insulin secretion. These medications include water pills and beta blockers, which are commonly used heart medications that are may be avoided in type 2 diabetics.
Patients with hyperosmolar hyperglycemic state (HHS) may have symptoms such as confusion, neurological changes or coma. They are very dehyrdated and become at risk for blood clot formation.
This diabetic complication differs from other diabetic complications like diabetic peripheral neuropathy, retinopathy or chronic kidney disease because it happens quickly and is acutely life threatening. Despite the seriousness of this condtion, many patients are unaware that very high sugar levels can result in hospitalization, coma or death.
To avoid hyperosmolar hyperglycemic state (HHS) patient should monitor blood sugar levels with their free glucometer very closely, especially during times of illness. During acute illnesses patients should stick to their diet closely and eat healthy diabetic snacks while staying well hydrated. If patients begin to feel more sick or blood sugars become very high, they should seek medical attention. Being aware of this complication can help type 2 diabetics avoid serious complications through prevention.
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