Nonketotic Hyperosmolar Coma

Nonketotic Hyperosmolar Coma is a type of diabetic coma that can be seen in Type 2 Diabetes though it is often a rare occurrence.

It can be a serious complication that may be associated with Diabetes in which some cases may lead to death. When it occurs, the coma can follow other serious medical issues like an infection, Stroke, Myocardial infarction, or other acute and sometimes severe illness.

It is also known as: Hyperosmolar hyperglycemic nonketotic coma or hyperosmotic non-ketotic coma.

The cause may be extremely large amounts of glucose are found in the blood. It is different then Diabetic Ketoacidosis because no ketone bodies are produced.


–  Change in mental status
–  Confusion
–  Change in reflexes
–  Tremors
–  Vomiting
–  Fatigue
–  Death
–  Other complications can be an increased risk of thrombosis


1.)  Hydration

2.)  Replacement of electrolytes

3.)  Insulin

4.)  Anticoagulants