Other complications associated with hyperosmolar hyperglycaemia

Patients with hyperosmolar hyperglycaemia have a very high risk of developing arterial and venous thrombosis. Use anticoagulant prophylaxis (see prevention of venous thromboembolism for information on prevention of venous thromboembolism).

Disseminated intravascular coagulation is another common complication of hyperosmolar states—seek specialist haematological advice for management.

Patients with type 2 diabetes have an increased risk of peripheral neuropathy and, with hyperosmolar hyperglycaemia, there is an increased the risk of developing pressure ulcers. For information on screening for peripheral neuropathy, see Assessment for peripheral neuropathy.