Hyperosmolar Coma Follow-up
- Author: Joseph Michael Gonzalez-Campoy, MD, PhD, FACE; Chief Editor: George T Griffing, MD more...
Further Outpatient Care
- Following an episode of HNS, enroll all patients in a program of routine diabetes care.
- Adhere to American Diabetes Association guidelines for care of people with diabetes.
- For patients with unknown diabetes prior to HNS, perform a dilated eye examination.
- Advise patients treated with insulin to wear a bracelet or chain identifying them as having diabetes.
Deterrence/Prevention
Having had HNS places patients at risk for further episodes. Patient education is important in preventing a recurrence of HNS. Warn patients to avoid poor glycemic control and dehydration.
Complications
See Mortality/Morbidity.
Patient Education
A certified diabetes educator should instruct all patients on management of sick days and a thorough review of self-care.
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