A 58-yeаr-оld mаle with а histоry оf type 2 diabetes mellitus presents to the emergency department with weakness, excessive thirst, and frequent urination. He is awake but slightly confused. Labs are as follows:Blood glucose: 650 mg/dLpH: 7.38bicarbonate: 26 mEq/LElevated serum osmolality: 320 mOsm/kg)Urinalysis: Positive for glucose, negative for ketones. Based on this information, the nurse recognizes that which of the following is the most likely diagnosis?
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