History of type two diabetes mellitus

Reference no: EM133710746

Question

A 61-year-old widow is brought to the emergency room after being found unresponsive in her home. She has a history of type 2 diabetes mellitus (T2DM) of 14 years duration. Upon physical examination, temperature is 96 °F, blood pressure is 80/54 mmHg, pulse is 110 (regular but thready), respirations are 18/minute. She is comatose, responding only to painful stimuli. Mucus membranes are dry. No obvious physical abnormalities are noted. Laboratory test results: Blood glucose: 944 mg/dL Blood urea nitrogen: 45 mg/dL Anion gap: 8 Serum osmolality: 480 mOsmol/kg H2O Serum sodium: 133 meq/L What is her diagnosis?

Reference no: EM133710746

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