Today, we're going to talk about the evaluation of your diabetic patient who walks into your clinical with a glucose which is unable to be read (>500). A 35 year old female with type 1 DM on insulin arrives to the ER for evaluation after being referred by her PCP. The patient complains of burning with urination x3 days, followed by nausea, vomiting, and abdominal pain with poor PO intake. Because she hasn't been eating regularly, she didn't take her insulin last night. When a patient comes in with this presentation, we need to be thinking DKA (diabetic ketoacidosis) or HHS (hyperosmolar hyperglycemic state). Today, Zach will run through this patient with you so that you can decipher between the two disease processes. - Subscribe to our YouTube channel here: https://www.youtube.com/medgeeks - Follow us on Instagram here: https://www.instagram.com/medgeeksinc - Ace your exams: https://learn.medgeeks.co/ - We'd love to hear your feedback: team@medgeeks.co - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.