Hyperosmolar hyperglycemic state diagnostic study of choice
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Hyperosmolar hyperglycemic state Microchapters |
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Differentiating Hyperosmolar hyperglycemic state from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Husnain Shaukat, M.D [2]
Overview
There are specific cut-offs for serum glucose level, ketone levels, body pH, serum bicarbonate levels and anion gap for the diagnosis of the hyperosmolar hyperglycemic state as outlined by the American Diabetes Association.
Diagnostic Criteria
The diagnosis of hyperosmolar hyperglycemic state is based on the following features/criteria:[1][2]
| Parameter | Lab value |
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| Serum glucose |
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| Serum osmolality |
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| Arterial ph |
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| Serum ketones |
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| Urine ketones |
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| Anion gap |
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| Mental status |
References
- ↑ "www.aace.com" (PDF).
- ↑ Pasquel FJ, Umpierrez GE (2014). "Hyperosmolar hyperglycemic state: a historic review of the clinical presentation, diagnosis, and treatment". Diabetes Care. 37 (11): 3124–31. doi:10.2337/dc14-0984. PMC 4207202. PMID 25342831.