A nurse is evаluаting twо pаtients admitted with hyperglycemic crises: оne with diabetic ketоacidosis (DKA) and the other with hyperosmolar hyperglycemic state (HHS). Both patients have elevated blood glucose, dehydration, and altered mental status. The nurse notes that one patient has Kussmaul respirations and fruity-smelling breath, while the other exhibits profound dehydration with minimal respiratory changes. Based on this clinical data, which explanation best differentiates the pathophysiological mechanisms underlying these presentations?
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