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Medicine Endocrinology cc4e2e37

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
Answer is option 1 - insulin. Presence of sugar & ketone bodies in urine and hyperglycemia suggests diabetic ketoacidosis. Treatment of choice for diabetic ketoacidosis is insulin Ref Harrison 17 /p2073

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