Hyperosmolar hyperglycemic state (HHS) is a potentially life-threatening complication of diabetes mellitus, characterized by profound hyperglycemia and glycosuria . Most patients present with severe dehydration and neurologic deficits . Many features of HHS mimic the other fatal complication of diabetes and/or diabetic ketoacidosis. However, the distinction between the two is extremely crucial to initiate the appropriate management.
Dehydration and altered mental status in HHS can be managed by maintaining the airway, intravenous (IV) access, crystalloid administration, and medications routinely given to comatose patients . IV administration of insulin is essential to correct hyperglycemia. Question: Which among the following is NOT a diagnostic feature of hyperosmolar hyperglycemic state (HHS)? Option A: Plasma glucose level ≥ 600 mg/dL Option B: Serum osmolality ≥ 320 mOsm/kg Option…
