Heat stroke and hyperosmolar hyperglycemia state: two faces of the same coin(dehydration) in the Hajj journey How to reduce deaths among pilgrims

Ahmed, Amr; Akl, Maher; Elkazzaz, Mahmoud

doi:10.30491/ijtmgh.2024.472572.1424

Heat stroke and hyperosmolar hyperglycemia state: two faces of the same coin(dehydration) in the Hajj journey How to reduce deaths among pilgrims

Document Type : Commentary

Authors

Amr Ahmed ¹

Maher Akl ²

Mahmoud Elkazzaz ³

¹ saudia arabia , Riaydh , khalydia

² independent researcher , mansoura , Egypt

³ independent researcher , Egypt

10.30491/ijtmgh.2024.472572.1424

Abstract

Heat stroke (HS) and hyperosmolar hyperglycemia state (HHS) are critical conditions frequently affecting pilgrims with co-morbidities like diabetes Mellitus during the Hajj, especially with temperatures exceeding 50°C (122°F). This brief commentary examines the interconnected risks of HS and HHS among Hajj pilgrims, focusing on the heightened vulnerability of those with diabetes. We discuss the mechanisms linking dehydration, hyperthermia, and hyperglycemia, emphasizing the need for early recognition and intervention. Preventive strategies such as heat acclimation, proper hydration, and probiotic-based oral rehydration solutions (ORSP) are highlighted. Additionally, using smart ID medical bracelets for diabetic patients can improve emergency response. Implementing these measures can reduce the incidence and severity of heat stroke and hyperosmolar hyperglycemia state, protecting the health of pilgrims.

Keywords

hyperosmolar hyperglycemia state

Hajj

pilgrims

Diabetes Mellitus

dehydration

ID bracelet