A 23-year-old man with type 1 diabetes has vomiting and abdominal pain after missing insulin. Glucose is 31 mmol/L, pH is 7.12, bicarbonate is 8

Question

A 23-year-old man with type 1 diabetes has vomiting and abdominal pain after missing insulin. Glucose is 31 mmol/L, pH is 7.12, bicarbonate is 8 mmol/L, anion gap is 28 and beta-hydroxybutyrate is elevated. Potassium is 5.4 mmol/L and blood pressure is 96/58 mmHg. What is the most likely diagnosis?

Accepted Answer

Diabetic ketoacidosis

Answer

Hyperosmolar hyperglycemic state

Answer

Lactic acidosis from sepsis

Answer

Toxic alcohol ingestion

Answer

Starvation ketosis

Diabetic ketoacidosis — RCPSC IM MCQ

A 23-year-old man with type 1 diabetes has vomiting and abdominal pain after missing insulin. Glucose is 31 mmol/L, pH is 7.12, bicarbonate is 8 mmol/L, anion gap is 28 and beta-hydroxybutyrate is elevated. Potassium is 5.4 mmol/L and blood pressure is 96/58 mmHg. What is the most likely diagnosis?