Table 1

Biochemistry on admission

Serum glucoseSerum Na+Serum K+Serum ureaSerum creatinineUrine ketones*Serum osmolality†
*Normally no ketones are detected on stick testing of urine.
†(2[Na++K+])+urea+glucose, using serum concentrations; dangerous if outside 240–330 mOsm/kg.
Patient55 mmol/l135 mmol/l4.0 mmol/l14.1 mmol/l149 μmol/l0357 mOsm/kg
Normal reference range3–6 mmol/l135–145 mmol/l3.5–5.0 mmol/l2–8 mmol/l60–120 μmol/l