C.G. is a 42-year-old patient with type 1 diabetes that is normally well controlled with insulin. Three days ago, she developed a viral infection with high fever and has not been checking her blood glucose regularly. She is now in the emergency department complaining of abdominal pain and flu symptoms. C.G.'s urine is positive for glucose and ketones, and serum glucose and blood gases are obtained. What fluid balance problem is C.G. at risk for secondary to glycosuria?

Question

Quizplus · Accepted Answer

C.G. is at risk for a water deficit due to glycosuria, which can cause an osmotic diuresis and lead to dehydration. The high serum glucose levels can also cause an osmotic shift of fluids from the intracellular to the extracellular compartment, further contributing to dehydration.

CG Is a 42-Year-Old Patient with Type 1 Diabetes That