Question

A 73-year-old woman with long-standing type 2 diabetes presents confused and very drowsy. Blood glucose is 44 mmol/L, serum osmolality is high and ketones are absent. She is clinically dehydrated with blood pressure 90/60 mmHg. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Sepsis

Answer

Hypoglycaemia

Answer

Addisonian crisis

Practice question

A 73-year-old woman with long-standing type 2 diabetes presents confused and very drowsy. Blood glucose is 44 mmol/L, serum osmolality is high and ketones are absent. She is clinically dehydrated with blood pressure 90/60 mmHg. What is the most likely diagnosis?