Question

A 76-year-old woman with long-standing type 2 diabetes is admitted from a care home with confusion and marked dehydration. Capillary glucose is 38 mmol/L, serum osmolality is raised, ketones are 0.4 mmol/L, and arterial pH is 7.38. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Lactic acidosis due to Metformin

Answer

Sepsis with reactive hyperglycaemia

Answer

Normal variant in elderly diabetic

Practice question

A 76-year-old woman with long-standing type 2 diabetes is admitted from a care home with confusion and marked dehydration. Capillary glucose is 38 mmol/L, serum osmolality is raised, ketones are 0.4 mmol/L, and arterial pH is 7.38. What is the most likely diagnosis?