<prompt> Answer this question truthfullyWhat laboratory results are associated with hyperosmolar hyperglycemic state?  <response>: <reason> The following lab abnormalities may be found in hyperosmolar hyperglycemic state HHS: LAB FORMULA VARIABLE NORMAL VALUE VALUE IN HHS Plasma glucose mgdL Direct measurement 200 mgdl 600 mgdl Arterial pH Blood pH 7.35-7.45 7.30 Anion gap Na Cl HCO3 7 to 13 mEqL Variable Serum osmolality 2Na K glucose 18 blood urea nitrogen 2.8 285 to 295 mOsmkg 285 to 295 mmolkg of water Increased 320mOsmkg Plasma ketones Direct measurement Negative Trace or negative Urine ketones Direct measurement Negative Trace or negative Serum bicarbonate Direct measurement 23 - 29 mEqL 18 mEqL Blood urea nitrogen BUN, creatinine levels NA BUN: 7-20 mgdl Creatinine levels: 0.8-1.2mgdl Increased Dehydration and decreased renal perfusion 