<prompt> Treatment of 42 year old obese man with blood glucose 450 mg, urine albumin 2sugar 4ketone 1 isInsulinGlibenclamideGlipizideMetformin  <response>: Answer is A Insulin: Presence of sugar and ketones in urine and the presence of hyperglycemia 400 mg Glucose suggests a diagnosis of Diabetic ketoacidosis. The treatment of choice in Diabetic ketoacidosis is Insulin. 