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whenever you have a patient who comes in with an extremely elevated glucose you have to be thinking about dka or HHS both of these conditions are related to a relative deficiency in insulin and the characteristic symptoms of dka or HHS are going to include polyurea polydipsia and profound volume depletion okay but now letamp;#39;s list out the biggest differences between dka and HHS so first of all dka is typically going to have a glucose less than 800 and in fact most of the time itamp;#39;s going to be somewhere between 350 and 500 and you may see that uh glucose is less than 250 in ug glycemic dka and remember whatamp;#39;s the biggest risk factor for ug glycemic Decay thatamp;#39;s going to be sglt2 Inhibitors on the other hand glucose in HHS is frequently above 1,000 so thatamp;#39;s one of the first differentiators that you can use and in terms of patient population dka is typically associated with patients uh who have type 1 diabetes melodus whereas uh HHS is going to be mo