03 August 2026
: Case report 
Acute Appendicitis as a Precipitating Factor for Diabetic Ketosis in Newly Diagnosed Type 2 Diabetes Mellitus: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Ziyang Wang BEF 1, Meijia Yang ABCDE 2*DOI: 10.12659/AJCR.952909
Am J Case Rep 2026; 27:e952909
Table 1 Laboratory findings on admission with reference ranges.
| Laboratory test | Value | Reference range |
|---|---|---|
| Blood glucose level (mmol/L) | 24.46 | 3.9–6.1 |
| Serum β – hydroxy butyrate (umol/L) | 3178 | 0–280 |
| Glycated serum protein (mg/L) | 5.9 | 1.4–2.95 |
| Serum total CO | 21.6 | 22–29 |
| Sodium | 139 | 135–145 |
| Potassium | 4.53 | 3.5–5.5 |
| Creatinine | 58 | 54–133 |
| Glycosuria | 2+ | Negative |
| Urinary ketones | 4+ | Negative |
| White blood cell count (/L) | 16.45 × 10 | 3.5–9.5 × 10 |
| Neutrophil count (/L) | 14.89 × 10 | 1.8–6.3 × 10 |
| Neutrophil ratio | 90.5% | 40%–75% |
| Blood amylase (U/L) | 23 | 35–135 |