Hyperosmolar hyperglycemic state (HHS) is a severe condition, which is triggered by advanced blood sugar levels. The disorder bothers mainly people with type 2 diabetes, but it can frequently be triggered by infection or illness. When the condition starts developing, the organism tries to fight its symptoms, getting rid of the excess blood glucose through the urine. However, if untreated, diabetic hyperosmolar syndrome can cause devastating and life-threatening complications, including dehydration and others. Despite the condition is typical for older adults, a wide range of younger people suffer from it. Seizures, coma and death are the most serious side effects that can appear as a consequence of unmanaged disorder. It takes only several days or weeks for the condition to develop, so it is important to know key information about the health impairment, its symptoms, possible triggers, causes and related disorders. Contact your medical specialist the moment you have noticed any signs of the condition development. Timely treatment and prevention of its further development are steps to success.
Symptoms and Causes of the Condition Development
The symptoms of the disorder can differ, depending on the severity of the issue, underlying health problems, individual health concerns and numerous other factors. However, most commonly, HHS symptoms include the following:
- Dry mouth;
- Abnormal thirst;
- Vision decrease or loss;
- Dry and warm skin;
- Advanced urination;
- Confusion and drowsiness;
- Increased blood sugar levels that range 600 mg per dL or higher.
Additionally, high fever, weakness on one body part, excess sleepiness and several other symptoms may start bothering you. Immediate medical assistance is required for timely condition prevention. Discuss the issue with the doctor in case your blood sugar levels get persistently higher. Check blood glucose frequently and visit the doctor regularly to eliminate the risk of devastating condition development and other complications related to it.
It is also inevitable to find out the reason of the Hyperosmolar hyperglycemic state occurrence, as the elimination of triggers can help treat the disorder. According to the results of clinical studies and numerous researches, the most frequent HHS causes are:
- Infection or illness;
- Specific medications, such as water pills and others;
- Inadequate diabetes treatment or the misuse of diabetes medications.
The risk of condition development can be higher in numerous groups of patients, especially the ones who:
- Have another chronic health disorder, such as kidney impairment, congestive heart failure, and others;
- Are older than 65;
- Suffer from the infection, either urinary tract virus or pneumonia that result in a considerable rise in blood sugar levels;
- Are diagnosed with type 2 diabetes;
- Take other medications, including diuretics, corticosteroids, and others.
Seizures, coma, stroke, heart attack and other disorders can develop if the symptoms of the hyperosmolar hyperglycemic syndrome are left untreated.
How to Diagnose and Treat the Disorder
A prompt diagnosis for the diabetic hyperosmolar hyperglycemic syndrome is always critical. Mental and physical state exams will be required in order to get the right diagnosis and start an effective treatment. Blood and urine tests will be recommended, as well as kidney function test in order to detect infection if any.
Once diagnosed with the condition, your doctor will advise starting the treatment course immediately, as the condition develops ultimately fast. On average, the treatment includes:
- Intravenous insulin to decrease blood sugar levels;
- Intravenous fluids to fight dehydration symptoms;
- Intravenous sodium phosphate and potassium to balance cell functioning.
Ways to Prevent Hyperosmolar Hyperglycemic Nonketotic Syndrome
You need to pay exceptional attention to the risk of condition development if you have the underlying aptitude for its occurrence. Visit your doctor regularly and take steps to eliminate related problems:
Learn the information about advanced blood sugar and its possible complications;
- Track blood sugar levels on a regular basis;
- Drink much water when you are sick to decrease the danger of dehydration;
- Follow your diabetes management plan prescribed by a specialist;
- Tell your family and friends about your condition to get proper assistance in emergency instances;
- Wear a medical ID necklace or bracelet.