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May 17, 2015Diabetic Medicine

Management of hyperosmolar hyperglycaemic state in adults with diabetes

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Population

Adults with diabetes presenting with hyperosmolar hyperglycaemic state (HHS)

Design

Guideline

Authors

ASA. R. Scott

Discussion

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Overview

Shifts HHS care to fluid-led resuscitation with osmolality monitoring; extends standardized protocols for hyperglycemic crises.

Structured PICO

P
Population
Adults with diabetes presenting with hyperosmolar hyperglycaemic state (HHS)
I
Intervention
Management according to Joint British Diabetes Societies for Inpatient Care guidelines (i.v. 0.9% sodium chloride, withholding insulin initially, monitoring osmolality)

These guidelines provide a structured approach to managing HHS, emphasizing the critical role of fluid replacement prior to insulin therapy and careful monitoring of serum osmolality.

Cite This Study

A. R. Scott (2015) studied this question.

synapsesocial.com/papers/6a7d4d6045db7d096f6e4d64https://doi.org/10.1111/dme.12757
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Also Consider

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

  1. 1THE HYPERGLYCEMIC HYPEROSMOLAR SYNDROME: HISTORY AND ESSENTIAL CLINICAL INSIGHTS2025
  2. 2MANAGEMENT OF HYPEROSMOLAR HYPERGLYCAEMIC STATE2026
  3. 3Hyperosmolar hyperglycemic state in elderly and senile patients2025
  4. 48362 3 cases with Hyperosmolar Hyperglycemic Syndrome and Atypical Diabetic Ketoacidosis2024
  5. 5Updates in the Management of Hyperglycemic Crisis2022 · 39 citations