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 cells in living tissue caused by external factors such as infection, trauma, or toxins. As opposed to apoptosis, which is naturally occurring and often beneficial planned cell death, necrosis is almost always detrimental to the health of the patient and can be fatal.