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Interactive diabetes case 15: A 74-year-old patient with type 2 diabetes and recurrent hyperkalemia – C1

Interactive diabetes case 15: A 74-year-old patient with type 2 diabetes and recurrent hyperkalemia – C1
Author:
Lloyd Axelrod, MD
Literature review current through: Apr 2025. | This topic last updated: Jan 22, 2024.

ANSWER — 

Incorrect.

Increases in the doses of insulin are necessary for the management of the patient's uncontrolled diabetes but not sufficient at this time to produce a meaningful decrease in the serum potassium level.

The patient needs additional therapy to break the pattern of recurrent hyperkalemia, which can no longer be attributed to hyperglycemia-induced hyperkalemia, to medications, or to impaired kidney function at the current levels of serum creatinine.

Return to the previous choice to try again. (See "Interactive diabetes case 15: A 74-year-old patient with type 2 diabetes and recurrent hyperkalemia – B3".)

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