Which statement is true regarding hyperosmolar hyperglycemia nonketotic coma?

Hyperosmolar hyperglycemia nonketotic coma (HHNC) is primarily associated with type 2 diabetes, making the statement that it is more common in patients with type 2 diabetes accurate. This condition occurs when there is a significant hyperglycemic state leading to severe dehydration and hyperosmolarity, typically seen in individuals who may have some degree of insulin resistance but still produce enough insulin to prevent the breakdown of fats into ketones.

In type 1 diabetes, patients are more prone to diabetic ketoacidosis (DKA) due to a lack of insulin, which results in fat breakdown and subsequent ketone production. In contrast, patients with type 2 diabetes may develop HHNC due to factors such as infection, illness, or dehydration, which can exacerbate insulin resistance and lead to high blood glucose levels without the production of ketones. Thus, HHNC is indeed less likely to occur in type 1 diabetes and does not typically result in ketoacidosis.

The blood glucose levels in HHNC can be extremely high, often exceeding those seen in DKA; therefore, the assertion that blood glucose levels are typically lower than in DKA is not accurate. Ultimately, the prevalence of HHNC in individuals with type 2