Diabetic Hyperosmolar Hyperglycemic Syndrome: A Complication For Type 2 Diabetes

November 12, 2012

Diabetic Hyperosmolar Hyperglycemic Syndrome: A Complication For Type 2 Diabetes

Hyperosmolar hyperglycemic syndrome is often seen in type 2 diabetes patients and has several symptoms associated with it. And, if not treated, it can result in numerous health problems or death.

A type 2 diabetes complication is diabetic hyperosmolar hyperglycemic syndrome, which involves very high blood sugar levels without ketones being present. Ketones are the result of fat breaking down.

What Causes Diabetic Hyperosmolar Hyperglycemic Syndrome

This condition is the result of three things:

  • Significantly high blood sugar levels

  • Reduced awareness

  • Dehydration

Ketoacidosis is the increase of ketones within the body, and it can also take place.

The condition is typically seen in folks who have type 2 diabetes and can even occur with folks who have yet to be diagnosed with it or cannot gain control over their diabetes. It’s generally brought on by the following three things:

  1. Illnesses

  2. Infections

  3. Medications that increase the loss of fluid or reduce glucose intolerance

Generally, the kidneys work to deal with the high glucose levels by letting additional glucose to escape the body by way of the urine. If you don’t drink a lot of fluids or drink sugar-loaded fluids, the kidneys can’t get rid of that additional glucose. Thus, the glucose levels will skyrocket, causing the blood to become more concentrated than it normally would with the end result being hyperosmolar hyperglycemic.

Hyperosmolar hyperglycemic is the condition where the blood has too much sodium, sugar and other substances that tend to cause water to move to the bloodstream. The water comes from other organs such as the brain. Hyperosmolar hyperglycemic is a cycle that increases dehydration and blood glucose levels.

What Are The Risk Factors For Diabetic Hyperosmolar Hyperglycemic Syndrome

  1. Congestive heart failure

  2. Infection, surgery, stroke or heart attack

  3. Impaired thirst

  4. Old age

  5. Reduced access to water

  6. Poor kidney function

  7. Halting insulin

  8. Poor diabetes management

What Are The Symptoms Of Diabetic Hyperosmolar Hyperglycemic Syndrome

  1. Weight loss

  2. Nausea

  3. Increased Thirst

  4. Convulsions

  5. Coma

  6. Lethargy

  7. Weakness

  8. Increase of Urination

  9. Confusion

Symptoms can get worst in a matter of days or weeks. However, three other symptoms of the disease include:

  1. Speech impairment

  2. Loss of function of muscles

  3. Dysfunctional movement

What Will The Tests For Diabetic Hyperosmolar Hyperglycemic Syndrome Reveal

The results of the test will have the following information:

  • High serum sodium levels

  • High normal creatinine and BUN levels

  • High serum osmolarity

  • High blood sugar level

  • Buildup of ketone

Doctors will use the following tests to determine if you have diabetic hyperosmolar hyperglycemic syndrome:

  • X-ray

  • Blood cultures

  • Urine analysis

  • Electrocardiogram

Signs of this condition include:

  • Increased heart rate

  • High body temperature

  • Extreme dehydration

  • Low systolic blood pressure

What Is The Treatment For Diabetic Hyperosmolar Hyperglycemic Syndrome

The goal for hyperosmolar hyperglycemic is to get control over the dehydration, as doing so improves blood pressure, circulation and urine output.

Possible Complications Of Diabetic Hyperosmolar Hyperglycemic Syndrome

There are four possible complications of this condition. They are:

  • Brain swelling

  • Acute circulatory collapse

  • Increased in blood acid levels

  • Blood clot formation

Keep in mind that death is also a possibility with diabetic hyperosmolar hyperglycemic syndrome, which is why it’s imperative to seek treatment from your doctor as soon as possible.


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