<prompt> Treatment of 42 year old obese man with blood glucose 450 mg, urine albumin 2 Sugar 4 Ketone 1 is -InsulinGlibenclamideGlipizideMetformin  <response>: Answer is option 1 - insulin. Presence of sugar ketone bodies in urine and hyperglycemia suggests diabetic ketoacidosis. Treatment of choice for diabetic ketoacidosis is insulin Ref Harrison 17 p2073 