Hyperosmolar Nonketotic Hyperglycemia
Hyperosmolar nonketotic hyperglycemic state or hyperosmolar hyperglycemic state (HHS) is an acute emergency characterized by significant hyperglycemia and hyperosmolarity without ketosis. HHS was first described in the 1880s in adult patients with type 2 diabetes by von Frerichs and Dreschfeld as a diabetic coma without dyspnea and the acetone smell…