Diabetes Mellitus – Severe


  • 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


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