HHNKC is also known as diabetic hyperglycemic hyperosmolar coma (HHOC), hyperosmolar nonketotic coma (HONK), hyperosmolar hyperglycemic state (HHS) or hyperosmolar hyperglycemic nonketotic syndrome (HHNS). In HHNKC, blood sugar levels rise, and your body tries to get rid of the excess sugar by passing it into your urine.
Pressures sores result from the death (necrosis) of tissues due to local deprivation of blood supply, and thus of oxygen (ischemic necrosis). This is why tissue compression is the first clinical sign of pressure sores; it blocks the small blood vessels supplying tissues.
Necrosis is the death of body tissue. It occurs when too little blood flows to the tissue. This can be from injury, radiation, or chemicals. Necrosis cannot be reversed. When large areas of tissue die due to a lack of blood supply, the condition is called gangrene.