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The resulting drop in blood sugar level to below the normal range prompts a hunger response. [citation needed] Polydipsia and polyuria occur when blood glucose levels rise high enough to result in excretion of excess glucose via the kidneys, which leads to the presence of glucose in the urine. This produces an osmotic diuresis. [citation needed]
In contrast to DKA, serum glucose levels in HHS are extremely high, usually greater than 40-50 mmol/L (600 mg/dL). [6] Metabolic acidosis is absent or mild. [6] A temporary state of confusion (delirium) is also more common in HHS than DKA. HHS also tends to affect older people more. DKA may have fruity breath, and rapid and deep breathing. [6]
Polycystic ovary syndrome, or polycystic ovarian syndrome (PCOS), is the most common endocrine disorder and an intersex condition [14] in women of reproductive age. [15] The syndrome is named after cysts which form on the ovaries of some women with this condition, though this is not a universal symptom and not the underlying cause of the disorder.
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Diabetes patients need to be capable of testing blood sugar at home at the recommended frequency. [6] Frequent self- monitoring of blood glucose and record keeping is key to identifying the possibility of hypoglycemia. [11] Diabetes patients should be able to know how to respond when blood sugar levels are too high or too low. [6]
Fasting prior to glucose testing may be required with some test types. Fasting blood sugar test, for example, requires 10–16 hour-long period of not eating before the test. [1] Blood sugar levels can be affected by some drugs and prior to some glucose tests these medications should be temporarily given up or their dosages should be decreased.