Asked by: Betina Mirchandani
asked in category: General Last Updated: 1st May, 2020

Which is worse DKA or HHS?

Hyperosmolar hyperglycemic state (HHS) is one of two serious metabolic derangements that occur in patients with diabetes mellitus (DM). It is a life-threatening emergency that, although less common than its counterpart, diabetic ketoacidosis (DKA), has a much higher mortality rate, reaching up to 5-10%.

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Also asked, what is the difference between HHS and DKA?

Although both conditions can occur at any age, diabetic ketoacidosis typically develops in younger patients, less than 45 years, who have little or no endogenous insulin production, whereas HHS usually occurs in much older non-insulin-dependent patients (who are often greater than 60 years old).

can HHS lead to DKA? PRECIPITATING CAUSES In patients with established diabetes, precipitating factors for DKA include infections, intercurrent illnesses, psychological stress, and poor compliance with therapy. Most patients with HHS have type 2 diabetes. HHS is the initial manifestation of diabetes in 7–17% of patients.

Thereof, why does HHS have a higher mortality rate than DKA?

Overall mortality for HHS is estimated at 5-20% and is usually due to the underlying illness that caused the hyperglycemic crisis. Prognosis is worse for elderly patients and patients in whom coma and hypotension are found. This is in contrast to the mortality rate of DKA, which is estimated to be about 1-5%.

What is diabetic HHS?

Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis. Symptoms include signs of dehydration, weakness, leg cramps, vision problems, and an altered level of consciousness.

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