Hyperglycemic Hyperosmolar Nonketotic State in Children

Virginija Žilinskaitė, Veslava Žukovskaja, Danutė Petraitienė Abstract Hyperglycemic hyperosmolar nonketotic state was infrequently diagnosed till recently. Now its being diagnosed with increased frequency in obese children with type 2 diabetes mellitus. The syndrome is characterized by severe hyperglycemia, a marked increase in serum osmolality and dehydration without ketoacidosis. Significant ketogenesis is restrained by the ability…