Hyperglycemic Crises in Patients With Diabetes Mellitus

etoacidosis and hyperosmolar hyperglycemia are the two most serious acute metabolic complications of diabetes, even if managed properly. These disorders can occur in both type 1 and type 2 diabetes. The mortality rate in patients with diabetic ketoacidosis (DKA) is 5% in experienced centers, whereas the mortality rate of patients with hyperosmolar hyperglycemic state (HHS) still remains high at 15%. The prognosis of both conditions is substantially worsened at the extremes of age and in the presence of coma and hypotension (1-10).