28th May 2025

You are asked by the surgical team to review a 70-year-old patient who is due to have a hip replacement this morning, they tell you that the blood sugar is 28 and blood ketones are 4, he has a background of T1DM.

You are asked by the surgical team to review a 70-year-old patient who is due to have a hip replacement this morning, they tell you that the blood sugar is 28 and blood ketones are 4, he has a background of T1DM. You ask them to take a venous blood gas and go to review the patient, he weighs 70kg. On examination, the patient appears confused and unable to respond to your questions properly. Which one of the following should trigger an escalation to critical care?

Select the SINGLE most appropriate option from the list below. Select ONE option only.