Today, we're going to talk about the evaluation of your diabetic patient who walks into your clinical with a glucose which is unable to be read (>500).

A 35 year old female with type 1 DM on insulin arrives to the ER for evaluation after being referred by her PCP.

The patient complains of burning with urination x3 days, followed by nausea, vomiting, and abdominal pain with poor PO intake.

Because she hasn't been eating regularly, she didn't take her insulin last night.

When a patient comes in with this presentation, we need to be thinking DKA (diabetic ketoacidosis) or HHS (hyperosmolar hyperglycemic state).

Today, Zach will run through this patient with you so that you can decipher between the two disease processes.

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