Hyperglycaemic Hyperosmolar State (HHS)

Acute management of HHS in Type 2 Diabetes.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner)
Last reviewed: 21 October 2025
EndocrinologyEmergency MedicineCritical Care

Clinical Guidelines

CKS: Diabetes - type 2: When to suspect hyperglycaemic emergencies (DKA and HHS)
National
The Management of Hyperosmolar Hyperglycaemic State (HHS) in Adults
National
Diabetic hyperglycaemic emergencies - BNF - NICE
Local
Hyperglycaemic crises in adults with diabetes: a consensus report from the ADA, EASD, and JDS
Local
ISPAD Clinical Practice Consensus Guidelines 2022: Diabetic ketoacidosis and the hyperglycaemic hyperosmolar state
Local
Practical Management of Hyperglycaemic Hyperosmolar State (HHS) in Children: Association of Children's Diabetes Clinicians Guideline
Local
The Management of Hyperosmolar Hyperglycaemic State (HHS) in Adults: An updated guideline from the Joint British Diabetes Societies (JBDS) for Inpatient Care Group
Local