Diabetic Ketoacidosis: Beware Hidden Dangers

A 52-year-old man presented with confusion. He was febrile with evidence of circulatory compromise and delirium. He was known to have type 2 diabetes mellitus of more than 10 years’ duration and had been prescribed insulin for more than 5 years. At the time of admission, severe diabetic ketoacidosis was diagnosed and a treatment with intravenous fluids, insulin and broad-spectrum antibiotics was commenced (Table). Despite aggressive treatment,...