Type 2 Diabetes

What is hyperosmolar state?

A Answers (1)

  • AHealthwise answered

    A hyperosmolar state develops when a person with type 2 diabetes has very high blood sugar—usually 600 millligrams per deciliter (mg/dL) or more. Sometimes this condition is the first time a person learns that he or she has type 2 diabetes.

    A hyperosmolar state can develop when a person is very sick and/or dehydrated, such as from the flu, a severe infection, a heart attack, or water pills (diuretics). If the person does not drink enough liquids, he or she may become confused. Older people are at increased risk for developing a hyperosmolar state.

    Symptoms of a hyperosmolar state include:

    • Increased urination for several days.
    • Dehydration, which develops because the person doesn't drink enough liquids.
    • A change in alertness from generalized fatigue to stupor, coma or seizures. These changes may be mistaken for a stroke or mental illness.

    Hyperosmolar state is treated in a hospital with insulin to reduce the blood sugar level and extra fluids through a vein (IV) to replace the lost fluids.

    The best way to prevent a hyperosmolar state is to treat high blood sugar levels early and drink enough liquids.

    This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. To learn more visit

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