HHS (A.K.A. HONK) is a diabetic emergency, but unlike DKA we don’t always think about it.
Patients with HHS are often elderly with multiple co-morbidities, and they are always very sick.
- Hyperglycaemia – generally ≥30mmol/l
- High Osmolality – generally ≥320mosmol/kg (Calculation= 2[Na] + [Glucose] + [Urea])
- & NOT:
- Acidotic – pH >7.3, HCO3 >15mmol/l
- Ketotic – blood <3mmol/l, Urine <2+