Abstract
Hyperglycaemic Hyperosmolar State (HHS), also known previously as Hyperosmolar Hyperglycaemic Non-Ketotic Coma (HONK) is a life-threatening but preventable acute metabolic complication of diabetes. It is becoming more common in childhood and optimal outcomes require a good understanding of the condition. It is very important that HHS is distinguished from DKA, as the management differs significantly, and HHS has a high morbidity and it can prove fatal. This review discusses the pathophysiology, how to make the diagnosis and the recommended treatment of this condition in children. The best clinical management of HHS in childhood involves careful correction of fluids and biochemical status of the patient and identification of precipitating causes whilst carefully monitoring for complications.
| Original language | English |
|---|---|
| Pages (from-to) | 171-175 |
| Number of pages | 5 |
| Journal | Paediatrics and Child Health (United Kingdom) |
| Volume | 27 |
| Issue number | 4 |
| Early online date | 27 Jan 2017 |
| DOIs | |
| Publication status | Published - 29 Mar 2017 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- children
- complication
- diabetes
- HONK
- hyperosmolar hyperglycaemic syndrome
- management
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