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Discolored area noticed on residents abdomen during routine insulin regimen. No recent trauma.

Case Discussion

Male 27 years old

Complaints of fever, chills and joint ache for 3 days. On the fourth day he complains of polyuria (around 20x a day). Random blood glucose test shows 220mg/dL. At the 5th day patient lost consciousness and was admitted to the hospital and diagnosed with diabetic ketoacidosis. Random blood sugar 534, ketone +, and metabolic acidosis. HbA1c are 5.2%, c-peptide are awaiting results. Patients father is type 2 diabetic, patient was previously healthy with no complaints whatsoever.

Request for Insights

Anyone have any idea what case this is?

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