A 45-year-old male patient presented to the emergency department at 2 AM with vomiting and abdominal pain. He had a 2-week history of polyuria and polydipsia, accompanied by a 9 kg weight loss and blurred vision. His medical history was unremarkable, except for being treated for hypertension with amlodipine 10 mg daily, which provided good control. (His blood pressure on admission was 135/80.)

Results of hospital laboratory studies revealed that the patient's initial blood glucose level was 350 mg/dL. The patient reported no family history of diabetes. His father died at age 35 of renal failure#

4) What are the clinical indicators of the desired outcome? ??

Answer:

patient's initial blood glucose level was 1192 mg/dL and clinical presentation and laboratory findings were consistent with a diagnosis of diabetic ketoacidosis (DKA). The patient reported no family history of diabetes. His father died at age 35 of renal failure.

The patient was treated successfully for DKA and discharged from the hospital 3 days later on an insulin regimen consisting of 30 units of NPH/regular human insulin 70/30 mixture (70/30 mix) before breakfast, 15 units of regular human insulin before dinner, and 20 units of NPH insulin at bedtime.

On discharge, he was instructed to perform blood glucose measurements 4 times a day. The patient was seen as an outpatient 4 days after he is discharged from hospital.