A 24-year old non-obese girl comes to your hospital with the complaint of chills and high-grade fever . A quick gaze at the symptoms and her condition gives you a hint that she is displaying the symptoms of urinary tract infection (UTI) . However, while going through her past medical records, you come to know that she was diagnosed with diabetes since she was 16 years old and at present, she is on human mixtard insulin (18U---0---10U) . General weakness, frequent urination, and unexpected weight loss were found to be a chief complaint in her medical records when she was diagnosed with diabetes at the age of 16.
There was no history of ketosis or ketoacidosis . However, her blood sugar level fasting and one hour postprandial at the onset was found out to be 300 and 350 respectively . You find something odd and suspicious about the case. You order blood and urine sample analysis, and in…
