When glucose levels exceed 600 mg/dL, especially in the elderly, a nonketotic coma can occur.

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Hyperglycemic hyperosmolar state (HHS), previously known as hyperosmolar nonketotic coma, is a complication of diabetes mellitus that can occur when blood glucose levels exceed 600 mg/dL, leading to extremely high blood sugar levels without significant ketosis. This condition is more common in the elderly and can lead to severe dehydration, loss of consciousness, and coma if not promptly treated.

When Glucose Levels Exceed 600 Mg/dL, Especially in the Elderly