The short and long term clinical presentations in DM2 often in their first manifestations result in metabolic presentations with a high risk of morbidity in a short period of time as a consequence of diseases such as infections that in the case of presenting their treatment must be adequate to be effective. Recognizing the different triggering factors in hyperglycemic crisis is fundamental, especially for those patients without adequate information and knowledge due to the comorbidities that may occur. Observational, retrospective, analytical and cross-sectional study. A population of 1150 was obtained, the sample size calculation yielded a number of 289 patients, the patients were selected by non-probabilistic random sampling, and exclusion criteria were applied. We worked with a total of 259 people. Of the patients with type 2 diabetes mellitus, 30.3% had HHD. Female gender (57.3%), age group > 75 years (59.3%), type 2 diabetes mellitus (96.4%) and chronic kidney disease (79.8%)
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