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nonketotic diabetic coma

This is a type of diabetic coma due to severe hyperglycemia (over 600 mg/dL; 35 mmol/L). Ketosis may not be present. High serum osmolality (greater than 310 mosm/kg. versus normal of 290 mosm/kg) results in diuresis (which causes dehydration), lethargy, confusion, and coma.

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