Hyperosmolar hyperglycemic nonketotic syndrome in a Turkish family medicine clinic

Abstract

Introduction: Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS) is a complication of Diabetes mellitus observed with high serum glucose, absence of ketone bodies and high hyperosmolarity. HHNS is a medical emergency requiring prompt recognition and treatment. Case report: A 52 year old diabetic Turkish woman is admitted to our institution with +2 positive excretion of glucose in urine, high level of plasma glucose of 515 mg/dL and hiperosmolality (328 mOsm/kg). A careful treatment with intravenous fluids, potassium and use of insulin (0.1U/kg IV bolus and continuous IV infusion of 0.1U/kg). When her plasma glucose level decreased to normal levels, the patient was discharged with commitments for her effective diabetes therapy.

Keywords

• diabetes
• complication
• hyperosmolarity
• hyperglycemia