Loose Motions in T2DM

A 45 year old female presented to OPD with complaints of sudden onset loose motions Her fasting is well controlled, but PP is in range of 200, so I asked to increase her morning dose to 9 units What could be the probable reason of loose motions? She took Racedrotil 100mg TDS for 2 days, then she didnt have passage of stool for days. Management She is currently on human insulin mixtard 30/70 7 units in morning and Degludec 8 units at bedtime

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viral diarrhoea is the first suspicion As she is diabetic lets see urine acetone too Manage accordingly

? DIBETIC DIARRHEA.. NEED'S TO R/O..DKA .. BRAT .. DIET .. LOMOTIL..

Check her urine ketone sugar may be she is in DKA Adv ABG

Absolutely r/o DKA

Check urine for ketones to r/o dka

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