Diabetic hyperglycemic hyperosmolar coma

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Food and insulin release

Nonketotic hyperglycemic hyperosmolar coma; NKHHC; HONK - hyperosmolar non-ketotic coma

The goal of treatment is to correct the dehydration, which will improve the blood pressure, urine output, and poor circulation. Fluids and potassium are replaced by intravenous treatment. High glucose levels are treated with intravenous insulin.

The death rate associated with this condition is as high as 40%.

• Acute circulatory collapse (shock)
• Blood clot formation
• Brain swelling (cerebral edema)
• Increased blood acid levels (lactic acidosis)

This condition is a MEDICAL EMERGENCY! Go to the emergency room or call the local emergency number (such as 911) if signs or symptoms of diabetic hyperglycemic hyperosmolar coma develop.

Review Date: 08/08/2006
Reviewed By: Robert Hurd, MD, Department of Biology, College of Arts and Sciences, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network