Practice question

Answer the question and get instant feedback.

HardEndocrinologyHyperosmolar hyperglycaemic stateuk-plab-1

A 76-year-old woman with poorly controlled type 2 diabetes on Metformin and Gliclazide is brought in with confusion and dehydration after several days of thirst and polyuria. Capillary glucose is 38 mmol per litre, serum osmolality is high and ketones are 0.5 mmol per litre. What is the most likely diagnosis?

Practice more on iatroX

Educational content. Not a substitute for clinical judgement or local policy.