<prompt> Which of the following is true about Hyperglycemic hyperosmolar state -it is more common in young patients with type 1 diabetes melitusMental status is not altered in any caseThere is associated hypeension and tachycardiaKussumaul respirations are characteristic  <response>: Answer- D. Kussumaul respirations are characteristicHyperglycemic hyperosmolar nonketotic comaNotably absent are symptoms of nausea, vomiting, and abdominal pain and the Kussmaul respirations characteristic of DKA.This is a life threatening complication of diabetes mellitus characterized by marked hyperglycemia, dehydration, and hyperosmolarity with or without mental obtundation in the absence of significant ketoacidosis.The prototypical patient with HHS is an elderly individual with type 2 DM.Sepsis, pneumonia, and other serious infections are frequent precipitants. 