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one come again once again to adopt and close I have another video for comparing dka and HS HHS um that is a upper oh smaller um hyperglycemic State and this is a highly testable question that you need to know for your test um they like asking the questions about this and Ill give you the information that they usually like to ask because thats the clinical thing that you have to know for your exams so lets get to it so briefly before we start I always like to talk about the pathophysiology I think is very important so in um a DJ usually in normal um people we make insulin okay and the function of insulin if this is the cell insulin is used for glucose metabolism so this is glucose insulin push glucose inside the cell so that this cell can metabolized use the glucose for energy if the body doesnt have glucose well it will look for other places and the common place you use is fat the breakdown of your fat or proteins because it doesnt have glucose number one micromolecule your body u