MSD Manual

Please confirm that you are not located inside the Russian Federation

honeypot link
Quick Facts

Hyperosmolar Hyperglycemic State

By

The Manual's Editorial Staff

Last full review/revision May 2021| Content last modified May 2021
Click here for the Professional Version
Get the full details

What is hyperosmolar hyperglycemic state (HHS)?

Hyperosmolar means your blood is too concentrated. Hyperglycemic means your blood sugar is too high.

  • HHS is a complication of type 2 diabetes

  • You get very dehydrated, which can cause confusion, coma, seizures, and death

  • Treatment is fluids in your vein and insulin

What causes HHS?

You're more likely to get HHS if you have type 2 diabetes and you:

What are the symptoms of HHS?

The first symptoms are:

  • Urinating (peeing) a lot

  • Dry mouth and dry skin

  • Feeling very thirsty

  • Mental changes, such as confusion or extreme sleepiness

If not treated early, you may also have:

How can doctors tell if I have HHS?

Doctors may think you have HHS if you have diabetes and seem confused. They tell for sure by doing:

  • Blood and urine tests

How do doctors treat HHS?

Doctors treat you in the hospital with:

Doctors also treat whatever other problem caused the HHS.

NOTE: This is the Consumer Version. DOCTORS: Click here for the Professional Version
Click here for the Professional Version
Others also read
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
Test your knowledge
Tumors of the Bile Ducts and Gallbladder
Both cancerous and noncancerous tumors of the bile duct or gallbladder are rare. When cancerous, these tumors are almost always fatal. The exception is a cancerous tumor of the gallbladder that is discovered accidentally, such as during gallstone removal surgery. If discovered in this way, the tumor may have been caught early enough to be removed completely, possibly producing a cure. When cancer of the gallbladder is diagnosed, there is almost always a co-existing medical condition found at the same time. Which of the following is the most likely associated medical condition?
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID

Also of Interest

Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
TOP