A hyperglycemic hyperosmolar state is usually associated with type 2 diabetes. It has significant mortality and morbidity and is rare
in the pediatric population. We describe a rare case of a 15-year-old boy with type 2 diabetes who presented to the e...
A hyperglycemic hyperosmolar state is usually associated with type 2 diabetes. It has significant mortality and morbidity and is rare
in the pediatric population. We describe a rare case of a 15-year-old boy with type 2 diabetes who presented to the emergency department
with a mixed hyperglycemic hyperosmolar state and diabetic ketoacidosis. Excessive consumption of high-sugar carbonated
drinks may have worsening the initial presentation. The patient recovered without any complications. We highlight the fact
that gradual correction of osmolarity and sodium is important to avoid cerebral edema despite severe dehydration.