HHS
life-threatening hyperglycemia emergency
only type 2
HHS hallmark signs
-severe dehydration
-significant hyperglycemia
-altered mental status (looks like stroke)
-weakness
-hypotension
BG of someone with HHS
800-1200
HHS risk factors
-obesity
-type 2 DM
-65+
-black
-family hx of DM
-steroids & duiretics
HHS s/sx
-onset can take days or weeks
-3P’s
-hypotension
tachycardia
-profound dehydration
-variable neurological status (seems like stroke)
-end stage neuro state is come
HHS labs
-normal potassium
-normalish serum osmolarity, depends on level of dehydration
-normal to slightly high anion gap
HHS treatment
-similar to DKA, just more IV fluids