A 78-year-old man with longstanding type 2 diabetes presents with confusion and profound dehydration. Capillary blood glucose is 42 mmol/L, serum osmo...

Question

A 78-year-old man with longstanding type 2 diabetes presents with confusion and profound dehydration. Capillary blood glucose is 42 mmol/L, serum osmolality is raised and there are no significant ketones. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Hypoglycaemia

Answer

Lactic acidosis

Answer

Alcoholic ketoacidosis

uk-plab-1 MCQ (SBA): Hyperosmolar hyperglycaemic state

A 78-year-old man with longstanding type 2 diabetes presents with confusion and profound dehydration. Capillary blood glucose is 42 mmol/L, serum osmolality is raised and there are no significant ketones. What is the most likely diagnosis?