Question

A 53-year-old woman with long-standing type 2 diabetes presents with polyuria, polydipsia and weight loss over 3 weeks. Capillary blood glucose is 28 mmol/L. VBG shows pH 7.08, bicarbonate 10 mmol/L and ketones 5.5 mmol/L. What is the most likely diagnosis?

Accepted Answer

Diabetic ketoacidosis

Answer

Hyperosmolar hyperglycaemic state

Answer

Lactic acidosis

Answer

Starvation ketosis

Answer

Normal anion gap metabolic acidosis from diarrhoea

Practice question

A 53-year-old woman with long-standing type 2 diabetes presents with polyuria, polydipsia and weight loss over 3 weeks. Capillary blood glucose is 28 mmol/L. VBG shows pH 7.08, bicarbonate 10 mmol/L and ketones 5.5 mmol/L. What is the most likely diagnosis?