23rd December 2021

A 67-year-old male with a history of DM type 2 for the past 10 years has routine bloods, urea and electrolytes performed

A 67-year-old male with a history of DM type 2 for the past 10 years has routine bloods, urea and electrolytes performed. There is a hyperkalemia. The patient is not on any medication that could cause this finding. An ABG is taken which reveals a hyperchloremic metabolic acidosis. Aldosterone levels are measured and found to be low. What is the cause of these findings?

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