Nonketotic Hyperosmolar Coma is a type of diabetic coma that is often seen in Type 2 Diabetes.

It can be a complication associated with Diabetes that in some cases may lead to death.

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

Can be seen typically following an infection, Stroke, Myocardial infarction, or other acute and sometimes severe illness.

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 increase risk of thrombosis


  • Hydration
  • Replacement of electrolytes
  • Insulin
  • Anticoagulants
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