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All Journal Al Makki Health Informatics Journal
Premaiswari Suparthika, Ni Putu Radha
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Dentistry Health Professions Nursing Public Health Veterinary

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Hyperosmolar Hyperglycemic State (HHS) and Diabetic Kidney Disease (DKD) as Acute and Chronic Complications of Type 2 Diabetes Mellitus in End-Stage Chronic Kidney Disease (CKD): a Case Report Premaiswari Suparthika, Ni Putu Radha; Sutarka , Nyoman
Al Makki Health Informatics Journal Vol. 3 No. 3 (2025): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v3i3.54

Abstract

Introduction: Hyperosmolar hyperglycemic state (HHS) is a life-threatening condition that often occurs in patients with type 1 and 2 diabetes mellitus characterized by hyperglycemic crises, hyperosmolarity, dehydration, with mild ketosis or no eketosis. Another chronic complication of Diabetes Mellitus is Diabetic Kidney Disease (DKD). Ni Putu Radha Premaiswari Suparthika1, I Nyoman Sutarka. Case Presentation: A 61-year-old male patient was referred with decreased consciousness since 5 days of SMRS. The patient has a history of type 2 diabetes mellitus since 20 years. In patients, signs were obtained in the form of decreased consciousness, severe hyperglycemia of 680 mg/dL, hyperosmolarity of 360 mOsm/kg, increase in anion gap >12, UTI complications as the trigger of HHS. In patients, moderate anemia was also found normochromic-normocyter, massive proteinuria, and decreased kidney function. Conclusion: In the 61-year-old male patient described in this case report, there are acute and chronic complications of Diabetes Mellitus that occur simultaneously and have caused high morbidity and mortality in patients.
Hyperosmolar Hyperglycemic State (HHS) and Diabetic Kidney Disease (DKD) as Acute and Chronic Complications of Type 2 Diabetes Mellitus in End-Stage Chronic Kidney Disease (CKD): a Case Report Premaiswari Suparthika, Ni Putu Radha; Sutarka , Nyoman
Al Makki Health Informatics Journal Vol. 3 No. 3 (2025): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v3i3.54

Abstract

Introduction: Hyperosmolar hyperglycemic state (HHS) is a life-threatening condition that often occurs in patients with type 1 and 2 diabetes mellitus characterized by hyperglycemic crises, hyperosmolarity, dehydration, with mild ketosis or no eketosis. Another chronic complication of Diabetes Mellitus is Diabetic Kidney Disease (DKD). Ni Putu Radha Premaiswari Suparthika1, I Nyoman Sutarka. Case Presentation: A 61-year-old male patient was referred with decreased consciousness since 5 days of SMRS. The patient has a history of type 2 diabetes mellitus since 20 years. In patients, signs were obtained in the form of decreased consciousness, severe hyperglycemia of 680 mg/dL, hyperosmolarity of 360 mOsm/kg, increase in anion gap >12, UTI complications as the trigger of HHS. In patients, moderate anemia was also found normochromic-normocyter, massive proteinuria, and decreased kidney function. Conclusion: In the 61-year-old male patient described in this case report, there are acute and chronic complications of Diabetes Mellitus that occur simultaneously and have caused high morbidity and mortality in patients.
Co-Authors Sutarka , Nyoman