Question

A 76-year-old man with type 2 diabetes presents with confusion, marked dehydration and a capillary glucose of 36 mmol/L. His serum ketones are 0.8 mmol/L and osmolality is significantly raised. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Alcoholic ketoacidosis

Answer

Lactic acidosis

Answer

Hypoglycaemic coma

Practice question

A 76-year-old man with type 2 diabetes presents with confusion, marked dehydration and a capillary glucose of 36 mmol/L. His serum ketones are 0.8 mmol/L and osmolality is significantly raised. What is the most likely diagnosis?