Table 1. Blood work on admission day.
Blood work on admission day. As noted, the patient has anion gap metabolic acidosis with low levels of bicarbonate and positive ketones. HbA1C is abnormally elevated for uncontrolled diabetes mellitus. Leukocytosis with high white blood cell count.
| Labs | Value | Reference range |
| Sodium | 143 mEq/L | 135–145 mEq/L |
| Potassium | 3.3 mEq/L | 3.5–5 mEq/L |
| Chloride | 103 mEq/L | 98–107 mEq/L |
| Bicarbonate | 18 mEq/L | 21–31 mEq/L |
| Glucose | 310 mg/dL | 70–110 mg/dL |
| Ketones | Positive | Negative |
| Blood urea nitrogen | 15 mg/dL | 7–23 mg/dL |
| Creatinine | 0.56 mg/dL | 0.6–1.3 mg/dL |
| Estimated glomerular filtration rate | >60 mL/minute/1.73 m2 | >60 mL/minute/1.73 m2 |
| Bilirubin total | 0.6 mg/dL | 0.3–1.1 mg/dL |
| Total protein | 5.7 g/dL | 6.4–8.4 g/dL |
| Albumin | 2.8 g/dL | 3.5–5.7 d/dL |
| Alkaline phosphate | 74 U/L | 34–104 U/L |
| Aspartate transaminase | 11 U/L | 13–39 U/L |
| Alanine transaminase | 8 U/L | 7–52 U/L |
| Hemoglobin A1c | 9.8% | 4–6% |
| Magnesium | 1.8 mg/dL | 1.7–2.5 mg/dL |
| C-reactive protein | 193.7 mg/L | <9.9 mg/L |
| Erythrocyte sedimentation rate | 82 mm/hour | <10 mm/hour |
| White blood cell count | 25.7 × 103 cells/mm3 | 4.5–11 × 103 cells/mm3 |
| Red blood cell count | 3.5 × 106 cells/mm3 | 4.3–5.8 × 106 cells/mm3 |
| Hemoglobin | 10.1 g/dL | 13.5–17.5 g/dL |
| Hematocrit | 31.2% | 41-53% |
| Platelets | 526 × 106 cells/mm3 | 140–440 × 106 cells/mm3 |
| Bands | 2% | 0–10% |