Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 76yo Man | Endocrinology | SMLE Q#4864
SMLE Question #4864
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 76-year-old man with type 2 diabetes mellitus treated with metformin and gliclazide is admitted for community-acquired pneumonia with sepsis. He is nil per os due to aspiration risk. Capillary glucose readings over the first 24 hours remain persistently elevated despite no oral intake. He has no prior insulin use and no history of diabetic ketoacidosis or hyperosmolar state. What is the most appropriate inpatient management of his hyperglycaemia at this time?
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