Hyperosmolar hyperglycemic nonketotic syndrome,”MC in DM2; same pathaphysiology as DKA except because there is some insulin release
there is little to no acidosis or ketone productionLab-Glucose > 900-Serum pH > 7.3 and HCO > 15Treat-NS-Insulin (add D5 once glucose < 250)*Patients usually present with focal neuro findings"