_{3 Sept 2012}

NHS Diabetes issues new guidance on the management of the hyperosmolar hyperglycaemic state (HHS)

NHS Diabetes has released new guidance to support healthcare professionals with the management of the hyperosmolar hyperglycaemic state (HHS).

Unlike the other common diabetes emergency, diabetic ketoacidosis (DKA), guidelines on the management of the hyperglycaemic hyperosmolar state (HHS) in adults are uncommon and often there is little to differentiate them from the management of DKA. However, HHS is different and treatment requires a different approach.

To address these issues NHS Diabetes has supported the Joint British Diabetes Societies (JBDS) for inpatient care, and produced up-to-date guidance developed by a multidisciplinary group of practicing specialists, with considerable experience in this area.

This guideline is the sixth in the JBDS series which include:

• Glycaemic management during the inpatient enteral feeding of stroke patients with diabetes, June 2012,  JBDS 05 (PDF 3.5MB)
  
• Self-management of diabetes in hospital, March 2012, JBDS 04 (PDF 2.6MB)
  
• Management of adults with diabetes undergoing surgery and elective procedures: improving standard April 2011, JBDS 03 (PDF 993KB)
  
• The Management of Diabetic Ketoacidosis in Adults,  March 2010, JBDS 02 (PDF 2MB)
  
• The Hospital Management of Hypoglycaemia in Adults with Diabetes Mellitus, March 2010, JBDS 01 (PDF 2.5MB)
  

Download the the latest HHS guidance: 

• The management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes, August 2012, JBDS 06 (PDF 3.2MB)
  
• JBDS guidance on management of the hyperosmolar hyperglycaemic state (HHS) in adults with diabetes, August 2012 (PDF 175.8KB)