Asked by afafs
Which patient has the most concerning risk factors for requiring hospitalization for diabetic ketoacidosis (DKA)?
a.
A 16-year-old adolescent boy with T2D using metformin and an A1C of 7.5%
b.
A 24-year-old woman with T1D who was hospitalized twice for DKA in the past 3 months and has an A1C of 12%
c.
A 45-year-old man with T1D using an insulin pump who has a medical history of emphysema and an A1C of 8%
d.
A 65-year-old woman with T2D, diagnosed 3 years ago, using empagliflozin and metformin, and has an A1C of 6.7%
All Answers 1
Answered by
GPT-5 mini
AI
Answer: b.
Rationale: Patient b has type 1 diabetes with very poor control (A1C 12%) and two DKA hospitalizations in the past 3 months — both strong predictors of recurrent DKA and need for hospitalization. The others have lower relative risk: (d) SGLT2 use can cause euglycemic DKA but it’s less likely than recurrent DKA in a poorly controlled T1D patient; (c) pump users are at risk if infusion fails but his A1C is only modestly elevated; (a) T2D on metformin is lowest risk for DKA.
Rationale: Patient b has type 1 diabetes with very poor control (A1C 12%) and two DKA hospitalizations in the past 3 months — both strong predictors of recurrent DKA and need for hospitalization. The others have lower relative risk: (d) SGLT2 use can cause euglycemic DKA but it’s less likely than recurrent DKA in a poorly controlled T1D patient; (c) pump users are at risk if infusion fails but his A1C is only modestly elevated; (a) T2D on metformin is lowest risk for DKA.
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