Ginger 4-1-1999 to 10-18-2010 I received Ginger's Final report of her diagnosis from the Emergency Hospital. It totally confuses me as to why nothing would show up in her blood work or urinalysis she had 10 days before and how fast something bad can happen. Date: 10/17/2010 - 10/18/2010 Diagnosis: Hyperosmolar diabetes mellitus Hypernatremia - severe Azotemia Euthanasia Summary: Ginger was hospitalized on 10/17/2010 for Hyperosmolar diabetes mellitus, severe hypernatremia, and azotemia. She was obtunded and hypothermic at presentation with lipemic serum. She was treated overnight with IV fluids as well as regular insulin. Ginger had mild clinical improvement overnight (she could sit sternal and responded to stimuli), and her serum sodium and blood glucose improved. Nevertheless, hyperosmolar diabetes mellitus carries a poor to grave prognosis for both survival to hospital discharge and long-term survival. I suspect that Ginger had both renal insufficiency and pancreatitis. Other possible causes for her hyperosmolar and hypernatremic state include kidney infection, heart failure, sepsis, or a brain tumor. Ginger was euthanized due to the severity of clinical signs and her poor long-term prognosis.