which electrolyte imbalance is commonly associated with hyperosmolar hyperglycemic nonketotic syndrome ( HHNS )?

Mr. Santos, a 65-year-old male with a history of type 2 diabetes, is admitted to the hospital with hyperosmolar hyperglycemic nonketotic syndrome ( HHNS ). He presents with extreme thirst, polyuria, weakness and altered mental status. Laboratory results show elevated blood glucose levels and increased serum osmolality.