EP 21 - Type 2 Diabetes & HHNS

Type 2 diabetes doesn’t always come with warning signs—until it does. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the difference between Type 1 and Type 2 diabetes and zooms in on a lesser-known but life-threatening complication: hyperosmolar hyperglycemic nonketotic syndrome (HHNS). 

You’ll follow the real case of a grocery store cashier who showed up to work confused and weak—classic signs of HHNS that may be missed. Learn how this condition develops slowly over time, why ketones are not part of the picture, and what immediate steps you need to take as a nurse to stabilize your client. 

What you’ll learn in this episode: 

• Type 2 diabetes pathophysiology and insulin resistance 

• HHNS vs. DKA: key clinical differences and red flags 

• How to treat HHNS: IV fluids, insulin, and careful monitoring 

• Long-term education: diet, medication adherence, foot care, and A1C goals 

• Rationales for an NCLEX-style question on diabetes treatment outcomes 

If you’ve ever struggled to tell HHNS and DKA apart—or want a better grip on Type 2 diabetes management and patient education—this episode makes it crystal clear. Because when it comes to chronic disease, prevention is just as important as intervention. 

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