Healthwise

Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Hyperosmolar state

A hyperosmolar state develops when a person with type 2 diabetes has very high blood sugar—usually 600 milligrams per deciliter (mg/dL) or more. Sometimes this condition is the first time a person learns that they have type 2 diabetes.

A hyperosmolar state can develop when a person is very sick and/or dehydrated, such as from the flu, a severe infection, a heart attack, or water pills (diuretics). If the person does not drink enough liquids, they may become confused. Older people are at increased risk for developing a hyperosmolar state.

Symptoms of a hyperosmolar state include:

  • Increased urination for several days.
  • Dehydration, which develops because the person doesn't drink enough liquids.
  • A change in alertness from generalized fatigue to stupor, coma, or seizures. These changes may be mistaken for a stroke or mental illness.

Hyperosmolar state is treated in a hospital with insulin to reduce the blood sugar level and extra fluids through a vein (I.V.) to replace the lost fluids.

The best way to prevent a hyperosmolar state is to treat high blood sugar levels early and drink enough liquids.

Due to the threat of the COVID-19 (Coronavirus), we are taking precautionary measures to protect our staff and patients. We are implementing a temporary NO VISITOR policy at this time. Only patients or patients and their guardians will be allowed into the office. Please note, this is not to inconvenience anyone! The virus is a very real threat and it is essential that we stay healthy in order to provide needed care for our patients. If you are sick, we ask that you CALL the office to speak with a nurse before you come in. The nurse will provide specific instructions for you. Please DO NOT enter the office if you are sick (upper respiratory symptoms, fever, cough, or flu like symptoms). We are closely monitoring the situation and will update you as circumstances change. Thank you for your understanding!!