Tag: dry mouth
I fielded a question the other day on my Facebook page asking if I’ve ever head about a condition called HHNS or hyperosmolar hyperglycemic nonketotic syndrome.
HHNS can happen to people with either type 1 or type 2 diabetes that is not being controlled properly. What is HHNS though, and is it really similar to DKA or is it just your typical run of the mill high blood sugar? Lets take a closer look!
What Is HHNS?
People over the age of 65 with type 2 diabetes are at greater risk of hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Even though it is possible, it is very rare in people with type 1 diabetes can develop HHNS. HHNS is a medical emergency caused by a very high blood sugar, typically over 600 mg/dL due to poor control. Your kidneys try to get rid of the extra blood sugar by putting more sugar into the urine. This makes you urinate more and you lose too much body fluid, causing dehydration.
As you lose fluids, your blood becomes thicker and your blood sugar level gets too high for the kidneys to be able to fix. With the high blood sugar and dehydration there is also an imbalance of minerals, especially sodium and potassium in the blood. The imbalance of fluids, glucose, and minerals in the body can lead to severe problems, such as brain swelling, abnormal heart rhythms, seizures, coma, or organ failure. Without rapid treatment, HHNS can cause death.
Signs & Symptoms Of HHNS?
As mentioned earlier, HHS can happen to anyone, but is more common in older individuals who have type 2 diabetes. Symptoms may begin gradually and worsen over a few days or weeks. A high blood sugar level is a warning sign of HHS. I also found it very interesting that the symptoms are very similar to diabetic ketoacidosis (DKA) so its extremely important to be aware and if you suspect anything out of the ordinary, its imperative that you call 911 or get yourself into your doctors office.
- excessive thirst
- high urine output
- dry mouth
- warm skin that doesn’t perspire
- nausea, vomiting
- weight loss
- leg cramps
- vision loss
- speech impairment
- loss of muscle function
Ok, so everyone knows that I’m an upbeat, positive person overall, but I’m not going to sugarcoat anything when it comes to this blog post. Whether it be type 1 vs type 2 diabetes we all know that we can be up against some serious, long term complications when it comes to battling diabetes on a daily basis 24/7/365. Its ruthless, its relentless, and probably worse of all, it never takes a day off.
Even when we feel like breaking down, giving up and throwing out the dreaded F-bomb because we’ve just had enough of the finger sticks, insulin injections, 2am lows, I’m here to show you why that is never a good idea. Why you need to push through and dig deeper even when you feel like giving up. Always remain vigilant and push through even when you don’t feel like doing so, here’s why!
Glaucoma And Diabetes:
When fluid inside the eye does not drain properly from a buildup of pressure inside the eye, it results in another eye problem with diabetes called glaucoma. The pressure damages nerves and the vessels in the eye, causing changes in vision.
Treatment of open-angle glaucoma, the most common form of glaucoma requires lowering the eye’s pressure by increasing the drainage of aqueous humor or decreasing the production of the fluid. Medications can accomplish both of these goals.
With open-angle glaucoma, there may be no symptoms of this eye problem at all until the disease is very advanced and there is significant vision loss. In the less common form of this eye problem, symptoms can include headaches, eye aches or pain, blurred vision, watering eyes, halos around lights, and loss of vision.
Treatment of this eye problem in diabetes can include special eye drops, laser procedures, medicine, or surgery. Surgery and laser treatments are directed at improving the eye’s aqueous drainage. You can prevent serious eye problems in diabetes problems by getting an annual glaucoma screening from your eye doctor.
Increase In Cardiovascular Disease?
Cardiovascular disease includes blood vessel disease, heart attack and stroke. It is the leading cause of death in Australia. The risk is greater for people with diabetes, who often have increased cholesterol and blood pressure levels. Smoking, having a family history of cardiovascular disease and being inactive also increase your risk.
To reduce your risk and pick up any problems early:
- Have your blood pressure checked at least every six months, but more often if you have high blood pressure or are taking medication to lower this.
- Have your cholesterol checked at least yearly, as well as an HbA1c (average blood glucose over the past three months).
- Further pathology tests such as an electrocardiogram (ECG) or exercise stress test may also be recommended by your doctor.