A 16-year-old girl was found unconscious in her room and is brought to the hospital. She was diagnosed with type 1 diabetes mellitus three years ago, and currently uses NovoMix 30 (8 units twice daily). Her glycated haemoglobin (HbA1c) was 6.1 percent (normal range 4–5.9 percent) a month ago, indicating an average blood glucose level of 7.0 mmol/L over the past three months. She has been suffering from a sore throat and influenza-like symptoms over the preceding days. Her parents say that the frequency of insulin intake had decreased as she had been eating and drinking less. Examination Her mucous membranes are dry.
Her abdomen is soft but tender throughout. She vomits several times during the examination. She appears breathless and is gasping for air. Her blood sugar, checked by the paramedics, is 24 mmol/L. Observations Temperature: 36.8°C Heart rate:110 beats/min Blood pressure: 90/50…
