A 75-year-old man with a long history of diabetes mellitus is found unresponsive in his apartment. He appears dehydrated. His serum glucose concentration is 860 mg/dL. A urine dipstick shows 4+ glucose and no ketones. Which of the following circulating hormones is the most likely cause of the absence of urinary ketones despite the increased serum glucose concentration? a. ADH (vasopressin) b.Glucagon C. Insulin d. Pancreatic polypeptide e. Somatostatin

Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
ChapterCRE2: Comprehensive Review Exam For Part 2
Section: Chapter Questions
Problem 15CEP2
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A 75-year-old man with a long history of diabetes mellitus is found unresponsive in
his apartment. He appears dehydrated. His serum glucose concentration is 860 mg/dL. A urine dipstick shows 4+ glucose and no ketones. Which of the following circulating hormones is the most likely cause of the absence of urinary ketones despite the increased serum glucose concentration?
a. ADH (vasopressin)
b.Glucagon
C. Insulin

d. Pancreatic polypeptide

e. Somatostatin

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