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Hyperosmolar hyperglycaemic stateThere are no precise diagnostic criteria but the following are typically seenhypovolaemiamarked hyperglycaemia (>30 mmol/L)significantly raised serum osmolarity (> ==== mosmol/kg)can be calculated by: ======no significant hyperketonaemia (<3 mmol/L)no significant acidosis (bicarbonate > 15 mmol/l or pH > 7.3 - acidosis can occur due to lactic acidosis or renal impairment)
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