A 58-year-old with poorly controlled diabetes (A1C 10.2%) presents with ketonemia but pH 7.35, bicarbonate 22, and glucose 280 mg/dL. Diagnosis?...

Question

A 58-year-old with poorly controlled diabetes (A1C 10.2%) presents with ketonemia but pH 7.35, bicarbonate 22, and glucose 280 mg/dL. Diagnosis?

Accepted Answer

Euglycemic DKA should be considered if ketosis and anion gap metabolic acidosis present; current data do not meet DKA criteria

Answer

Classic DKA

Answer

HHS

Answer

Normal variant

Answer

Lactic acidosis

us-abfm MCQ (SBA): Euglycemic DKA Consideration