Are you evaluating an insulin-dependent diabetic who is hyperglycemic?

Does the patient show?

• negative urine tests for glucose and ketones followed in a few hours by marked glycosuria and/or ketonuria?

• wide fluctuation in plasma glucose that cannot be explained by caloric intake or insulin administration?

• signs and symptoms of nocturnal hypoglycemia with hyperglycemia on arising?

• persistent or worsening signs and symptoms despite increasing the insulin dose?


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