ICU Map
Meta-Analysis

Hyperosmolar hyperglycaemic state: A systematic review of management guidelines and their evidence

Lin R et al., 2026 · 7 studies included

Summary

Systematic comparison of seven HHS guideline documents and their evidence; not a trial comparing insulin or fluid regimens.

Conclusion

Recommendations varied and relied on consensus, exposing an HHS-specific evidence gap. Older ADA regimens summarized in the review must not displace the separate 2024 international consensus used in this app.

Low certainty