Hyperosmolar Hyperglycemic State (previously known as “Hyperosmolar Hyperglycemic Nonketotic Syndrome” and, before that, “Hyperosmolar Hyperglycemic Nonketotic Coma”) is a bit of a slippery animal.  Despite being redefined several times, the precise definition remains elusive.  This may cause it to be over-diagnosed in anyone with severe hyperglycemia.  The treatment likewise remains a bit controversial, with different … Continue reading IBCC chapter & cast – Hyperosmolar Hyperglycemic State