The Management of the Hyperosmolar Hyperglycaemic State (HHS) in Adults with Diabetes

Title
The Management of the Hyperosmolar Hyperglycaemic State (HHS) in Adults with Diabetes
Category
Inpatient
Summary
Unlike the other common diabetes emergency, diabetic ketoacidosis (DKA), guidelines on the management of Hyperglycaemic Hyperosmolar State (HHS) in adults are uncommon and often there is little to differentiate them from the management of DKA. However, HHS is different and treatment requires a different approach. These guidelines are evidenced based as far as that evidence exists, otherwise they reflect a consensus derived from an analysis of the published literature in English and the views of specialist diabetes clinicians in the UK. The emphasis throughout is on ensuring that biochemical evaluation must go hand in hand with clinical evaluation.
Date of publication
August 2012
Publisher
Joint British Diabetes Societies for Inpatient Care (JBDS-IP)
Lead authors
Dr Adrian Scott, Sheffield Teaching Hospitals NHS Foundation Trust
Anne Claydon, Barts Health NHS Trust