HYPER-OSMOLAR HYPER GLYCEMIC STATE: A CASE REPORT

Anjitha Roy*, Sanjo Saijan, Basil John and Jobin Kunjumon Vilapurathu

ABSTRACT

Hyperosmolar Hyperglycemic State (HSS) is an urgent medical condition associated as a complication of Type 2 Diabetes. It usually occurs by certain triggering factors and needed sudden intensive care. This case study is mainly aimed to represent the actual scenario for treatment of HHS in a 50-year-old female patient who presented with severe breathlessness, cough and wound infection. From past 2 days she had intense thirst and on vital examination everything was found to be normal except respiratory rate which was slightly elevated. On the basis of laboratory examination, she was diagnosed with HHS and proper treatment was given with insulin, oral hypoglycemic agents, antibiotics, fluid correction, and electrolyte correction. She was discharged after complete resolution of symptoms and a review after 3 months, the HBA1C value showed a good decline from initial value. This case report emphasizes that early recognition and proper treatment of HHS improves clinical outcome and prevents serious complications.

Keywords: Diabetes, breathlessness, hyperosmolar hyperglycemic state, HBA1C.