Description:

Experts: Dr. Bernard Mwesigye & Dr. Umarashid Guloba

In this episode

A young type 1 diabetic patient arrives with: Restlessness, agitation, confusion (GCS 9/15)·

Vital signs: HR 146, RR 30, SpO₂ 89%, BP 186/89·

Key finding: Vitiligo patches on skin — signaling autoimmune disease (type 1 diabetes)·

History: Several days of vomiting/diarrhoea → couldn't keep food or insulin down

· Labs: Glucose 19 mmol/L, HbA1c 14%, ketonuria 3+· Diagnosis: DKA precipitated by gastroenteritis.

KEY DISCUSSION POINTS

1. Diagnosis & Differentials

· DKA confirmed (hyperglycaemia + ketones + acidosis)

· HHS ruled out (significant ketones pr ...