Question

A 74-year-old with type 2 diabetes and confusion, glucose 33 mmol/L, osmolality high, ketones negative. Diagnosis and first priority?

Accepted Answer

HHS; cautious IV fluids first

Answer

DKA; insulin first

Answer

Sepsis; broad-spectrum antibiotics first

Answer

DKA; bicarbonate first

Answer

HHS; insulin bolus first

Practice question

A 74-year-old with type 2 diabetes and confusion, glucose 33 mmol/L, osmolality high, ketones negative. Diagnosis and first priority?