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Preventing Hyperosmolar Nonketotic Coma

The best way to prevent hyperosmolar nonketotic coma is to monitor your blood glucose levels regularly. Your doctor can instruct you about how often to check your levels, and what the numbers mean. Also, talk with your healthcare provider about how to manage your blood glucose when you are sick.

RESOURCES:

American Diabetes Association
http://www.diabetes.org/

National Diabetes Information Clearinghouse
http://diabetes.niddk.nih.gov/

CANADIAN RESOURCES:

Canadian Diabetes Association
http://www.diabetes.ca/

Health Canada
http://www.hc-sc.gc.ca/index_e.html

References:

Chiasson JL, Aris-Jilwan N, Belanger R, et al. Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state. Can Med Assoc J. 2003;168:859-866.

Hyperosmolar hyperglycemic crisis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php .Accessed May 23, 2007.

Kitabchi AE. Hyperglycemic crises in diabetes mellitus: diabetic ketoacidosis and hyperglycemic hyperosmolar state. Endocrinol Metab Clin North Am. 2006;35:725-51

Stoner GD. Hyperosmolar hyperglycemic state. Am Fam Physician. 2005;71:1723-1730

What is hyperosmolar hyperglycemic nonketotic syndrome (HHNS)? American Diabetes Association website. Available at: http://www.diabetes.org/type-2-diabetes/treatment-conditions/hhns.jsp .Accessed May 23, 2007.



Last reviewed November 2008 by David Juan, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.



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