The hallmark of hyperglycemic hyperosmolar syndrome (HHS) is
a. hyperglycemia with low serum osmolality.
b. severe hyperglycemia with minimal or absent ketosis.
c. little or no ketosis in serum with rapidly escalating ketonuria.
d. hyperglycemia and ketosis.
B
The hallmarks of HHS are extremely high levels of plasma glucose with resulting elevations in serum hyperosmolality and osmotic diuresis. The disorder occurs mainly in patients with type II diabetes.
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