Risk factors for Hyperosmolar Nonketotic Coma

The following factors are thought to increase the risk of hyperosmolar nonketotic coma:

• Older age
• Diabetes and poorly monitored glucose levels
• Infection
• Drugs (eg, diuretics, steroids, anticonvulsant, chemotherapy drugs)
• Disease states ( heart attack , stroke , kidney failure , overactive thyroid gland )
• Substance abuse
• Recent operation

Stroke

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