Question

An 82-year-old with poorly controlled type 2 diabetes, dehydration, osmolality 325 mOsm/kg, glucose 35 mmol/L, minimal ketones, pH 7.36. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Lactic acidosis from metformin

Answer

Alcoholic ketoacidosis

Answer

Sepsis-induced hypoglycaemia

Practice question

An 82-year-old with poorly controlled type 2 diabetes, dehydration, osmolality 325 mOsm/kg, glucose 35 mmol/L, minimal ketones, pH 7.36. What is the most likely diagnosis?