A female patient, whose type 2 diabetes mellitus had been well controlled so far, was admitted for an acute worsening of her condition with quantitative deterioration of consciousness caused by hyperglycemic, hyperosmolar, and non-ketoacidotic state with potential contribution of COPD exacerbation. During screening examinations a tumor of pancreatic head and metastasis in hepatal hilus were diagnosed.
Considering patient's preferences, the advanced disease was left for a symptomatic treatment