Question

A 28-year-old woman with type 1 diabetes presents with nausea, vomiting, abdominal pain and polyuria. Capillary glucose is 22 mmol/L. Venous blood gas shows pH 7.18 and bicarbonate 12 mmol/L. Serum ketones are 5.0 mmol/L. What is the most appropriate diagnosis?

Accepted Answer

Diabetic ketoacidosis

Answer

Hyperosmolar hyperglycaemic state

Answer

Simple hyperglycaemia without acidosis

Answer

Lactic acidosis from metformin

Answer

Starvation ketosis

Practice question

A 28-year-old woman with type 1 diabetes presents with nausea, vomiting, abdominal pain and polyuria. Capillary glucose is 22 mmol/L. Venous blood gas shows pH 7.18 and bicarbonate 12 mmol/L. Serum ketones are 5.0 mmol/L. What is the most appropriate diagnosis?