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Medicine Endocrinology 1e7a55f2

Treatment of 42 year old obese man with blood glucose 450 mg, urine albumin 2+ Sugar 4+ Ketone 1+ is :

A
Insulin
B
Glibenclamide
C
Glipizide
D
Metformin
High-Yield Explanation
Ans. is 'a' Insulin The patient is having diabetic ketoacidosis. (Ketones in urine and hyperglycemia).The only antidiabetic drug useful in any complications of diabetes (such as diabetic ketoacidosis, ischemia and gangrene) is Insulin. Oral hypoglycemics have no role in complicated diabetes.

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