Honk Diabetes. This clinical condition was formerly called nonketotic hyperglycemic coma hyperosmolar hyperglycemic nonketotic syndrome and hyperosmolar nonketotic coma (HONK) Diabetes mellitus is a clinical condition associated with hyperglycemia as the main metabolic disorder This is as a result of an absolute or relative deficiency of insulin.
PDF fileNonKetotic Diabetic state (HONK)) It is based on the Joint British Societies (JBDS) guideline ‘The Management of the hyperosmolar hyperglycaemic state (HHS) in adults with Diabetes published in August 2012 12 Hyperosmolar hyperglycaemic state (HHS) has no precise definition but characteristic features.
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Diabetes India Hyperglycemic Honk HONK is a slowly progressive disease and it is not uncommon to have 310 day history of increasing thirst polyuria and malaise Patients usually have evidence of dehydration such as dry mucus membranes tachycardia poor skin turgor and sometimes a low grade fever.
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HONK is distinct form DKA and the distinction is not entirely arbitrary at least from the management point of view For instance even though the conditions coexist 30% of the time it is possible to treat pure HONK without any supplemental insulin (because there is a satisfactory amount of it in circulation already)DKA is 3 times more common but HONK has 3 times.
Hyperglycaemic Hyperosmolar Nonketotic Coma (HONK) …
Hyperglycaemic Hyperosmolar Nonketotic Coma Hyperglycaemic Hyperosmolar Nonketotic Coma (HONK) HONK can occur with very high blood glucose levels Hyperglycaemic hyperosmolar nonketotic coma is a dangerous condition brought on by very high blood glucose levels in type 2 diabetes (above 33 mmol/L).
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It does not usually lead to the presence of ketones in the urine as occurs in diabetic ketoacidosis (DKA) which is why it was previously referred to as HONK (hyperglycaemic hyperosmolar nonketotic coma) Ketones develop when the blood glucose level is high due to lack of insulin which is needed to allow glucose to enter the cells for energy.