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Treatments and drugs

By Mayo Clinic staff

Emergency treatment can correct diabetic hyperosmolar syndrome within hours. Treatment typically includes:

  • Intravenous fluids
  • Insulin to lower your blood sugar levels
  • Possibly, potassium, sodium or phosphate replacement to help your cells function correctly

If you have an infection, or an underlying health condition, such as congestive heart failure or kidney disease, these conditions will be treated as well.

References
  1. Kitabchi AE, et al. Hyperglycemic crises in adult patients with diabetes (Consensus statement). Diabetes Care. 2009:32;1335.
  2. 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.
  3. 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.
  4. Hyperosmolar hyperglycemic nonketotic syndrome (HHNS). American Diabetes Association. http://www.diabetes.org/living-with-diabetes/complications/hyperosmolar-hyperglycemic.html. Accessed Jan. 29, 2010.
  5. 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.
  6. Stoner, G. Hyperosmolar hyperglycemic state. American Family Physician. 2005;71:1723.
  7. Standards of medical care in diabetes, 2010. American Diabetes Association. Diabetes Care. 2010;33(suppl):11.
  8. Collazzo-Clavell ML (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 1, 2010.
  9. Rosenow E (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 31, 2010.
DS00664 March 23, 2010

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