A 65-year-old man with type 2 diabetes and hypertension presents with polyuria and polydipsia. Labs show glucose 32 mmol/L, serum osmolality 320 mOsm/...

Question

A 65-year-old man with type 2 diabetes and hypertension presents with polyuria and polydipsia. Labs show glucose 32 mmol/L, serum osmolality 320 mOsm/kg, minimal ketones and pH 7.38. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Hypoglycaemia

Answer

Lactic acidosis

Answer

Normal glycaemia

ca-mccqe1 MCQ (SBA): Hyperosmolar hyperglycaemic state

A 65-year-old man with type 2 diabetes and hypertension presents with polyuria and polydipsia. Labs show glucose 32 mmol/L, serum osmolality 320 mOsm/kg, minimal ketones and pH 7.38. What is the most likely diagnosis?