Question

A 72-year-old woman with long-standing type 2 diabetes presents with confusion and marked dehydration. Her blood glucose is 45 mmol/L, serum osmolality is raised and there is no significant ketonaemia or acidosis. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Hypoglycaemic coma

Answer

Lactic acidosis

Answer

Sepsis

Practice question

A 72-year-old woman with long-standing type 2 diabetes presents with confusion and marked dehydration. Her blood glucose is 45 mmol/L, serum osmolality is raised and there is no significant ketonaemia or acidosis. What is the most likely diagnosis?