A 51-year-old male came to the emergency department at 3 AM with the chief complaints of vomiting and abdominal pain. He had a history of polyuria, polyphagia and polydipsia accompanied by weight loss and blurred vision. Medical History - Patient had history of hypertension. Medication History - Amlodipine 10 mg daily (blood pressure on admission was 130/80). Family history - Father died at age 38 of renal failure.
Lab Investigations -Hospital laboratory studies revealed that the patient's initial blood glucose level was 1196 mg/dL. Glutamic acid decarboxylase (GAD) antibodies were positive and C-peptide value was low. Diagnosis - GAD antibodies were positive and C-peptide value was low helping to confirm the diagnosis of type 1 DM. On the basis of clinical presentation and laboratory findings compatible with a diagnosis of Type I DM with DKA. DKA is a rare but fatal hyperglycemic…
