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BOF: 3.99

A 26-year old known Type 1 diabetic was admitted to the A&E with confusion, dehydration and smelling of alcohol or ‘pear drops’. Her admission bloods showed plasma glucose of 35.7 mmol/L and arterial blood gases revealed a significant metabolic acidosis. Her urine showed only traces of ketones, though was 3+ for glucose on dipstick testing. Treatment was initiated with normal saline and insulin and within a few hours the blood glucose fell to 12.1 mmol/l.. Which of the following statements is most likely to be true on re-testing the urine with dipstick?

 

a)      3+ glucose, no ketones

b)      1+ glucose, 2+ ketones

c)      No glucose, no ketones

d)      1+ glucose, no ketones

e)      No change from the pre-treatment result

 

 

 

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