Have a symptom?
See what questions
a doctor would ask.

Hyperglycemic Hyperosmolar Nonketotic Syndrome

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Introduction

Whereas highs in Type 1 diabetics lead to ketones and blood acidity that causes DKA, Type 2 diabetics tend to get highs without ketones leading to HHNS. HHNS is a form of high blood sugars that occurs with Type 2 diabetes, whereas ketosis is more common with Type 1 diabetes. It is quite different from the "ketosis" or "ketoacidosis" that occurs from ketones in highs, but almost as dangerous. HHNS occurs more commonly in Type 2 diabetics who retain enough pancreas function to avoid ketones, but who can still go dangerously high. Being high for prolonged periods causes severe dehydration from frequent urination.

HHNS can occur in any form of diabetes whether it is diet-only, diabetes pills, or insulin treated. HHNS is often discovered when a Type 2 diabetic is diagnosed. This occurs in cases where Type 2 diabetes gets quite advanced without being diagnosed. ...more »

Symptoms of Hyperglycemic Hyperosmolar Nonketotic Syndrome

Treatments for Hyperglycemic Hyperosmolar Nonketotic Syndrome

  • Hospitalization - HHNS can be severe enough to require hospitalization, especially if occurring in a newly diagnosed diabetic.
  • Lowering blood sugars - Extreme HHNS requires gradual blood sugar lowering in a hospital setting. Milder HHNS can be treated mainly by reducing blood sugars using insulin.
  • Fluid replacement - Fluids such as water are required to replace the lost fluid and fix the dehydration.
  • Treat metabolic imbalances - HHNS is a severe condition that can cause other metabolic changes. Hospital care will test and address other chemical imbalances.
  • Treat the underlying cause - Once the main symptoms are alleviated, it is important to identify what caused the HHNS, so as to avoid it recurring. A common cause is that the patient is diabetic, but did not know they were.
  • more treatments...»

Home Diagnostic Testing

Home medical testing related to Hyperglycemic Hyperosmolar Nonketotic Syndrome:

Wrongly Diagnosed with Hyperglycemic Hyperosmolar Nonketotic Syndrome?

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Deaths

Read more about Deaths and Hyperglycemic Hyperosmolar Nonketotic Syndrome.

Diagnostic Tests for Hyperglycemic Hyperosmolar Nonketotic Syndrome

Test for Hyperglycemic Hyperosmolar Nonketotic Syndrome in your own home

Click for Tests
  • Blood sugar test - check for very high blood sugars
  • Symptom analysis: dehydration - a check of the symptoms, especially those of dehydration, lead to the doctor to suspect either DKA or HHNS.
  • Symptoms: nausea/vomiting - If the patient is nauseous or vomiting, DKA is suspected. If not, HHNS is more likely.
  • Urine ketone tests - The presence of ketones in the urine can indicate DKA. Lack of ketones probably means HHNS.
  • Blood ketone tests - Blood tests to analyze ketones and acidity in the blood can help confirm DKA versus HHNS.
  • more tests...»

Causes of Hyperglycemic Hyperosmolar Nonketotic Syndrome

  • Diabetes
  • Type 2 diabetes
  • High blood sugars - leading to the kidneys over-filtering water, leading to excessive urination, leading to dehydration.
  • Too little water - failure to drink enough water can contribute to the dehydration that is a hallmark of HHNS. This can occur when the elderly lose their sense of thirst, making HHNS occur somewhat too frequently in nursing homes.
  • Intravenous feeding - can contribute because it involves lots of glucose, which might make you go high.
  • more causes...»

More information about causes of Hyperglycemic Hyperosmolar Nonketotic Syndrome:

Disease Topics Related To Hyperglycemic Hyperosmolar Nonketotic Syndrome

Research the causes of these diseases that are similar to, or related to, Hyperglycemic Hyperosmolar Nonketotic Syndrome:

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Undiagnosed Conditions

Commonly undiagnosed diseases in related medical categories:

In-Depth Reports: Diagnosis and Misdiagnosis

Diabetes diagnosis and misdiagnosis (In-Depth Report): Detailed report on diabetes misdiagnoses, rare curable types, and less common diagnostic full report »

Misdiagnosis and Hyperglycemic Hyperosmolar Nonketotic Syndrome

Metabolic syndrome often undiagnosed: Metabolic syndrome, also known as Syndrome X, is an often overlooked medical condition that causes a more »

Heart attacks can be undiagnosed: Although the most severe symptoms of heart attack are hard to miss, there are varying degrees of severity. It is altogether more »

Heart attacks can be overdiagnosed: Although many people die from heart attacks, there are also many cases where people fear that they have a heart attack, but actually have something milder. Some of the conditions more »

Unnecessary hysterectomies due to undiagnosed bleeding disorder in women: The bleeding disorder called Von Willebrand's disease is quite common more »

Cluster of diseases with difficult diagnosis issues: There is a well-known list of medical conditions that are all somewhat difficult to diagnose, and all can present in a variety of different more »

Poorly healing leg rashes a classic sign of chronic disease: Recurring leg rashes, or poorly healing leg rashes, are a classic sign of undiagnosed diabetes, particularly of Type more »

Leg cramps at night a classic sign: The symptom of having leg muscle cramps, particularly at night, is a classic sign of undiagnosed diabetes. However, there are also more »

Obesity-related conditions undiagnosed in children: A variety of conditions are associated with obesity (see obesity), but these tend to be undiagnosed more »

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Research Doctors & Specialists

Research related physicians and medical specialists:

Other doctor, physician and specialist research services:

Hospitals & Clinics: Hyperglycemic Hyperosmolar Nonketotic Syndrome

Research quality ratings and patient safety measures for medical facilities in specialties related to Hyperglycemic Hyperosmolar Nonketotic Syndrome:

Choosing the Best Hospital: More general information, not necessarily in relation to Hyperglycemic Hyperosmolar Nonketotic Syndrome, on hospital performance and surgical care quality:

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Rare Types

Rare types of diseases and disorders in related medical categories:

Evidence Based Medicine Research for Hyperglycemic Hyperosmolar Nonketotic Syndrome

Medical research articles related to Hyperglycemic Hyperosmolar Nonketotic Syndrome include:

Click here to find more evidence-based articles on the TRIP Database

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Animations

Research about Hyperglycemic Hyperosmolar Nonketotic Syndrome

Visit our research pages for current research about Hyperglycemic Hyperosmolar Nonketotic Syndrome treatments.

Prevention of Hyperglycemic Hyperosmolar Nonketotic Syndrome

Prevention information for Hyperglycemic Hyperosmolar Nonketotic Syndrome has been compiled from various data sources and may be inaccurate or incomplete. None of these methods guarantee prevention of Hyperglycemic Hyperosmolar Nonketotic Syndrome.

  • Blood sugar control - The only prevention is to control blood sugars. Avoiding going high for prolonged periods will avoid HHNS. Monitoring blood sugars usually means that no-one gets HHNS once they are diabetic. HHNS only occurs in diabetics if they neglect basic blood sugar monitoring.
  • Careful blood sugar control - Tricky days include Sick days, injury, surgery, etc. You can get HHNS on days where the blood sugars get too high, like sick days, surgery recovery, or high stress. So make sure to monitor blood sugars more carefully on these high-risk days.
  • more preventions...»

Hyperglycemic Hyperosmolar Nonketotic Syndrome: Broader Related Topics

Hyperglycemic Hyperosmolar Nonketotic Syndrome Message Boards

Related forums and medical stories:

User Interactive Forums

Read about other experiences, ask a question about Hyperglycemic Hyperosmolar Nonketotic Syndrome, or answer someone else's question, on our message boards:

Contents for Hyperglycemic Hyperosmolar Nonketotic Syndrome:
User Surveys and Discussion Forums


By using this site you agree to our Terms of Use. Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information on this site is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs. Please see our Terms of Use.

Home | Symptoms | Diseases | Diagnosis | Videos | Tools | Forum | About Us | Terms of Use | Privacy Policy | Site Map | Advertise