Question

A 77-year-year-old man presents confused and severely hyperglycaemic (glucose 38 mmol/L), osmolality high, minimal ketones, pH 7.38. Most likely diagnosis and first priority?

Accepted Answer

HHS; cautious IV fluids first

Answer

DKA; start insulin bolus

Answer

DKA; bicarbonate infusion

Answer

Sepsis; broad antibiotics only

Answer

Alcoholic ketoacidosis; dextrose only

Practice question

A 77-year-year-old man presents confused and severely hyperglycaemic (glucose 38 mmol/L), osmolality high, minimal ketones, pH 7.38. Most likely diagnosis and first priority?