<prompt> Answer this question truthfullyWhat condition is suggested by the presence of high anion gap metabolic acidosis with hyperglycemia?  <response>: <reason> The presence of high anion gap metabolic acidosis with hyperglycemia is suggestive of diabetic ketoacidosis. Diabetic ketoacidosis is a serious complication of diabetes that occurs when the body produces high levels of ketones, which are acidic byproducts of fat metabolism. This leads to a decrease in blood pH, causing high anion gap metabolic acidosis. Hyperglycemia, or high blood sugar levels, is also a characteristic feature of diabetic ketoacidosis. Other symptoms may include excessive thirst, frequent urination, nausea, vomiting, and abdominal pain. Diabetic ketoacidosis requires immediate medical attention and can be life-threatening if left untreated. 