What is the diagnostic lab criteria for hyperosmolar hyperglycemic state? How do we distinguish it from DKA?
Glucose >33.3 mmol/LpH > 7.3 (acidosis does not happen in HHS)Bicarb > 15Anion gap < 12 (normal)Serum osmolarity > 320 mOsm/kgABSENCE of ketonesDistinguishing feature of HHS from DKA is ABSENSE of ketones