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This patient has presented with signs and symptoms in keeping with a new diabetic ketone acidosis (DKA). DKA can be the initial presentation of previously unknown diabetes in patients, often triggered by an acute illness. A diagnosis of DKA is based on the following criteria: Glucose >==== mmol/L or known diabetes mellituspH <=== nmol/LBicarbonate <==== mmol/LBlood ketones >=== mmol/L or urine ketones 2+ on dipstick

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