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Table 1 Clinical and biochemical evolution of the patient from arrival to discharge

From: Difficult-to-diagnose diabetes in a patient treated with cyclophosphamide – the contradictory roles of immunosuppressant agents: a case report

 

Initial evaluation

6 hours*

10 hours*

16 hours*

GCS

12

14

15

15

Vital signs, HR/RR

125/27

117/24

109/19

92/18

Serum glucose (mg/dl)

1240

408

313

174

Urinary ketones (mg/dl)

80

80

40

0

Serum sodium (mEq/L)

127

150

149

152

Serum potassium (mEq/L)

5.56

4.27

3.52

3.5

pH

7.07

6.99

7.21

7.27

Bicarbonate (mmol/L)

3.0

9.2

12.4

14.7

Anion gap

43.56

33.07

25.12

7.04

Osm (mOsm/kg)

322.8

322.6

315.3

313.6

IIR (UI/kg per hour)

0.18

0.1

0.09

0.05

  1. Where: * since initial evaluation, GCS Glasgow Coma Scale, HR heart rate (in beats per minute), IIR insulin infusion rate, Osm osmolarity, RR respiratory rate (in breaths per minute)