Introduction and aim. Non-ketotic hyperglycemia (NKHG), also known as hyperosmolar hyperglycemic state (HHS) is a serious metabolic complication of diabetes mellitus (DM).The mortality rate can be up to 20% this much more higher than that diabetic ketoacidosis (DKA). It usually precipitated by an event such pulmonary/urinary infection, myocardial infarction (MI) or stroke. In derangements, cent...