Diabetes PubMed

Hyperglycemic hyperosmolar syndrome is associated with a number of complications. Management strategies are undefined, given the rarity of its presentation, and further studies are warranted.

Pediatric patients with hyperglycemic hyperosmolar syndrome have a high mortality rate and may experience multiple complications such as rhabdomyolysis and hypovolemic shock.

Improved patient education and implementation of measures such as home glucose and ketone monitoring might decrease the number of hospital admissions due to diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS), which are, in their majority, preventable.

Effective treatment requires a rapid initial assessment of the patient based on current medical history and clinical presentation.

Though elderly cases with hyperglycemic hyperosmolar syndrome and hyperketonemia are rarely reported, it is important to be aware that elderly patients often have very atypical signs and symptoms.