Preparing for your appointment
By Mayo Clinic staffDiabetic hyperosmolar syndrome is a medical emergency that you won't have time to prepare for. If you've been feeling the symptoms of high blood sugar, such as extreme thirst and excessive urination, for a few days, check your blood sugar level and call your doctor for advice. If you feel the symptoms of extreme high blood sugar (more than 600 mg/dL or 33 mmol/L), call 911 or your local emergency number. Don't try to drive yourself to the hospital.
If you're with someone with diabetes who is acting confused, has one-sided weakness, or who has passed out, call for immediate medical help.
After you've received treatment and are feeling better, some questions you might want to ask your doctor include:
- How can I better control my diabetes?
- What range does my blood sugar need to be in?
- Do I need to see a specialist?
- What dietary changes do I need to follow?
- Can I get help from a dietitian?
- Does eating a meal with a lot of sugar bring on this syndrome?
- Do I need to consume fluids more regularly?
- Can diabetic hyperosmolar syndrome happen again?
- Kitabchi AE, et al. Hyperglycemic crises in adult patients with diabetes (Consensus statement). Diabetes Care. 2009:32;1335.
- Masharani U. Diabetes mellitus and hypoglycemia. In: McPhee SJ, et al. Current Medical Diagnosis and Treatment. 49th ed. New York, N.Y.: McGraw-Hill Medical; 2010. http://www.accessmedicine.com/content.aspx?aID=15524. Accessed Jan. 26, 2010.
- Masharani U, et al. Pancreatic hormones and diabetes mellitus. In: Gardner DG, et al. Greenspan's Basic and Clinical Endocrinology. 8th ed. New York, N.Y.: McGraw-Hill Medical; 2007. http://www.accessmedicine.com/content.aspx?aID=2633151. Accessed Jan. 26, 2010.
- Hyperosmolar hyperglycemic nonketotic syndrome (HHNS). American Diabetes Association. http://www.diabetes.org/living-with-diabetes/complications/hyperosmolar-hyperglycemic.html. Accessed Jan. 29, 2010.
- Kitabchi AE, et al. Clinical features and diagnosis of diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 18, 2010.
- Stoner, G. Hyperosmolar hyperglycemic state. American Family Physician. 2005;71:1723.
- Standards of medical care in diabetes, 2010. American Diabetes Association. Diabetes Care. 2010;33(suppl):11.
- Collazzo-Clavell ML (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 1, 2010.
- Rosenow E (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 31, 2010.

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