Bart is a patient is a 67-year-old male with T2 DM. He is on glipizide and metformin. He presents to the clinic with confusion, sluggishness, and extreme thirst. His wife tells you Bart does not follow his meal plan or exercise regularly, and hasn't checked his BG for 1 week. A random glucose is drawn and it is 500. What is a likely diagnosis based on preliminary assessment?

Question

Quizplus · Accepted Answer

Bart's symptoms of confusion, sluggishness, extreme thirst, and high glucose level suggest the development of hyperglycemic hyperosmolar syndrome (HHS), which is a severe complication of uncontrolled diabetes. The fact that Bart hasn't followed his diabetes management plan and hasn't checked his blood glucose for a week may have triggered the onset of HHS.

Bart Is a Patient Is a 67-Year-Old Male with T2