Dka and 15 for hhs 1 2 dka is the most common cause of death in children and adolescents with type 1 diabetes and accounts for half of all deaths in diabetic patients 24 years of age 6 the cause of death in patients with dka and hhs rarely results from the metabolic complications of hyper glycemia or metabolic acidosis but. Thus ketones are produced and the patient may present with a mix of both dka and hhs.
Dka Vs Hhs Suraya
Diabetic ketoacidosis dka and hyperosmolar hyperglycemic state hhs are the two most serious metabolic complications of diabetes mellitus dm.
Dka and hhs. 12 the diagnostic criteria for hhs is defined as hyperglycemia often with blood. Diabetic ketoacidosis dka and hyperglycemic hyperosmolar state hhs are acute metabolic complications of diabetes mellitus that can occur in patients with both type 1 and 2 diabetes mellitus. Timely diagnosis comprehensive clinical and biochemical evaluation and effective management is key to the successful resolution of dka and hhs.
Dka presents in patients with type 1 dm t1dm while hhs is more commonly seen in patients with type 2 dm t2dm. Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome hhs are life threatening emergencies that occur in patients with type 1 diabetes and type 2 diabetes 1 2 3 4 diabetic ketoacidosis is defined by a triad of hyperglycemia or a diagnosis of diabetes metabolic acidosis and ketonemia 1 2 5 6 7 hhs is defined by severe hyperglycemia high serum osmolality and dehydration 4 8 the presentation of each of these diabetic emergencies often overlaps 3 8 early diagnosis and. Hyperosmolar hyperglycemic state hhs 1 2 severe hyperglycemia hyperosmolality and dehydration in the absence of significant ketoacidosis.
In severe cases of hhs the insulin resistance is so great that the body does begin to break down fatty acids. Dka is characterized by hyperglycemia ketone body formation and metabolic acidosis. 6 often these patients are obese and extremely insulin resistant.
Diabetic ketoacidosis dka 1 2 uncontrolled hyperglycemia metabolic acidosis and increased total body ketones. These disorders can occur in both type 1 and type 2 dm. Dka vs hhs dka means diabetic ketoacidosis and hhs means hyperosmolar hyperglycemic syndrome both dka and hhs are the two complications of diabetes mellitus.
Diabetic ketoacidosis dka and hyperglycemic hyperosmolar state hhs are complications that present in the acute phase of diabetes mellitus dm. They are associated with increased risk of mortality 1 2. Diabetic ketoacidosis dka and hyperosmolar hyperglycemic syndrome hhs are two acute complications of diabetes that can result in increased morbidity and mortality if not efficiently and effectively treated.
When comparing the two hhs has a higher mortality rate. Though there are many differences between dka and hhs the basic problem is associated with insulin deficiency.
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