Which of the following is a sign of hyperglycemia?

• A. Acetone breath
• B. Dilated pupils
• C. Weak pulse
• D. Slow loss of consciousness

Answer: (A)

Fruity breath due to acetone is a classic sign of hyperglycemia, especially in diabetic ketoacidosis. When insulin is insufficient, glucose can’t enter cells, so the body starts breaking down fats for energy. This fat breakdown produces ketone bodies, including acetone, which is exhaled and gives the breath its distinctive fruity odor. That smell is a strong clinical cue that hyperglycemia, often in a ketoacidosis crisis, is occurring.

Other options don’t point specifically to high blood glucose. Dilated pupils aren’t a typical feature of hyperglycemia. A weak pulse can occur with dehydration or other emergencies and isn’t specific to high glucose. Slow loss of consciousness isn’t the hallmark; unconsciousness can arise in various situations and isn’t as characteristic as the fruity breath in a hyperglycemic context.

So the presence of acetone (fruity) breath best indicates hyperglycemia in this scenario.