Hyperglycaemic Hyperosmolar Nonketotic Coma (HONK)
Hyperglycaemic hyperosmolar non-ketotic coma is a dangerous condition brought on by very high blood glucose levels in type 2 diabetes (above 33 mmol/L).
Hyperglycaemic hyperosmolar non-ketotic coma is a short term complication requiring immediate treatment by a healthcare professional.
Symptoms of HONK
Before loss of consciousness and coma takes place, patients will display signs of very high blood sugar levels which may include:
- Extreme thirst
- Frequent need to urinate
The condition of very high blood glucose without signs of ketosis may also be known as Hyperosmolar Hyperglycaemic State (HHS).
Causes of HONK
Causes of hyperglycaemic hyperosmolar non-ketotic coma may include undiagnosed type 2 diabetes that has been developing over a number of years.
Treatment for HONK
Treatment for hyperglycaemic hyperosmolar non-ketotic coma will include fluids being given to the patient and insulin administered intravenously.
HONK and type 2 diabetes
Hyperglycaemic hyperosmolar non-ketotic coma is coma resulting from very high blood glucose levels in a patient with normal ketone levels.
If very high blood glucose levels are combined with high ketone levels, the state is likely to be ketoacidosis.