Evaluation

• Fulminant diabetes mellitus, with or without diabetic ketoacidosis
• Rule out sepsis, adrenal insufficiency

Assessment and Investigations

• Urea & Electrolytes/CRP/Full Blood Count
• Ketones on capillary blood, urine or blood
• Random serum cortisol/ACTH
• Cultures, imaging as indicated

Management

• ICPI can be resumed when glycemia and general status has recovered
• Intravenous hydration, correction of electrolytes
• Intravenous Insulin therapy