A Patient with Type 2 Diabetes Is Admitted

A patient with type 2 diabetes is admitted.He is very lethargic and hypotensive.A diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is given.Which findings support this diagnosis?

A) Decreased serum glucose and increased serum ketones
B) Increased urine ketones and decreased serum osmolality
C) Increased serum osmolality and increased serum potassium
D) Increased serum osmolality and increased serum glucose

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