Found unresponsive and lethargic

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An elderly man was brought to the emergency department by his wife when he was found unresponsive and lethargic. His blood glucose level was 25 mg/dL when seen in the field by EMS. The patient regained consciousness when given a D-50 ampule of insulin and IV Lasix. Patient has type 1 diabetes mellitus that is of long duration, hypertensive heart disease with congestive heart failure (CHF), and stage 3 chronic kidney disease secondary to diabetes mellitus.

Final diagnoses: (1) Uncontrolled type 1 diabetes mellitus with hypoglycemic coma, chronic hypertensive kidney disease due to diabetes with CHF.

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Reference no: EM133919127

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