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December 12, 2023Diabetes CareOpen Access

Incidence and Characteristics of the Hyperosmolar Hyperglycemic State: A Danish Cohort Study

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Key result

The incidence of hyperosmolar hyperglycemic state was 16.5 per 10,000 person-years among patients with type 1 diabetes compared with 3.9 per 10,000 person-years among those with type 2 diabetes.

Why the study?

The hyperosmolar hyperglycemic state is a rare and life-threatening complication of diabetes, but its incidence and clinical and biomarker profiles remained to be estimated and described.

Population

634 acutely admitted patients fulfilling criteria of HHS among 4.80 million inhabitants aged ≥18 years in Denmark

Design

Nationwide descriptive cohort study

Authors

EREmilie Vangsgaard RosagerUniversity of CopenhagenAHAmalia Lærke K HeltøUniversity of CopenhagenCMCathrine U. Fox MauleFrederiksberg Hospital

Discussion

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Overview

Elevated HHS incidence in type 1 versus type 2 diabetes supports risk awareness; leaves open whether it should guide targeted prevention.

Study Design

Type

Cohort (n=634)

Multicenter

Yes

Structured PICO

P
Population
634 acutely admitted adult patients (median age 69) fulfilling criteria for hyperosmolar hyperglycemic state identified from a nationwide Danish registry between 2016-2018.
O
Outcome
Incidence of HHS, clinical and biomarker profiles, and in-hospital mortality

Main Result

Absolute Event Rate: 16.5% vs 3.9%

Cite This Study

Rosager et al. (2023) conducted a cohort in Hyperosmolar hyperglycemic state (n=634). Type 1 diabetes vs. Type 2 diabetes was evaluated on Incidence of HHS (per 10,000 person-years). The incidence of hyperosmolar hyperglycemic state was 16.5 per 10,000 person-years among patients with type 1 diabetes compared with 3.9 per 10,000 person-years among those with type 2 diabetes.

synapsesocial.com/papers/6a6f02ddfebe604dd708189ehttps://doi.org/10.2337/dc23-0988
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical features and outcomes of hyperglycemic hyperosmolar syndrome: a retrospective study at a Japanese university hospital2025 · 1 citations
  2. 2Hyperosmolar hyperglycaemic state: a systematic review and meta-analysis2026
  3. 3THE HYPERGLYCEMIC HYPEROSMOLAR SYNDROME: HISTORY AND ESSENTIAL CLINICAL INSIGHTS2025
  4. 4The Impact of Hyperosmolarity on Long-Term Outcome in Patients Presenting with Severe Hyperglycemic Crisis: A Population Based Study2017 · 14 citations
  5. 5Hyperosmolar hyperglycemic state in elderly and senile patients2025