Stephen J. Schueler, M.D.

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Nonketotic Hyperglycemic Coma Overview

What is nonketotic hyperglycemic coma?
A person with nonketotic hyperglycemic hyperosmolar coma has very high blood sugar levels and is very dehydrated, which results in loss of consciousness. This condition occurs only in those who have type 2 diabetes.

What are the symptoms of nonketotic hyperglycemic coma?
Symptoms of nonketotic hyperglycemic coma include dry mouth, dry skin, increased thirst, increased urination, nausea, vomiting, weakness or fatigue, lethargy, confusion, seizures, and coma.

How does the doctor treat nonketotic hyperglycemic coma?
Treatment for nonketotic hyperglycemic coma includes intravenous fluids, potassium supplements, and insulin to reduce blood sugar levels.

Continue to Nonketotic Hyperglycemic Coma Risk Factors

Last Updated: Feb 10, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Nonketotic Hyperglycemic Coma References
  1. Cooper SG, Tom LW, Lowry LD. Hyperosmolar nonketotic coma: prevention, diagnosis, and treatment. Otolaryngol Head Neck Surg. 1982 Nov-Dec;90(6):700-3. [10994416]
  2. Gonzalez-Campoy JM, Robertson RP. Diabetic ketoacidosis and hyperosmolar nonketotic state: gaining control over extreme hyperglycemic complications. Postgrad Med. 1996 Jun;99(6):143-52. [8668627]
  3. Gottschalk ME, Ros SP, Zeller WP. The emergency management of hyperglycemic-hyperosmolar nonketotic coma in the pediatric patient. Pediatr Emerg Care. 1996 Feb;12(1):48-51. [8677181]
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