A 78-year-old man with long-standing type 2 diabetes presents with confusion, profound thirst and polyuria. Capillary glucose is 38 mmol/L. Serum osmo...

Question

A 78-year-old man with long-standing type 2 diabetes presents with confusion, profound thirst and polyuria. Capillary glucose is 38 mmol/L. Serum osmolality is 330 mOsm/kg, ketones are 0.4 mmol/L and pH is 7.38. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Lactic acidosis

Answer

Alcoholic ketoacidosis

Answer

Hypoglycaemia

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

A 78-year-old man with long-standing type 2 diabetes presents with confusion, profound thirst and polyuria. Capillary glucose is 38 mmol/L. Serum osmolality is 330 mOsm/kg, ketones are 0.4 mmol/L and pH is 7.38. What is the most likely diagnosis?