A 16-year-old girl with diabetes mellitus type 1 (T1DM) was presented to the emergency department with abdominal pain, nausea, and vomiting. In the past three days, her insulin dose was reduced as she had vomiting, diarrhea, and could not eat. The patient’s physical examination revealed dry mucous membranes, poor skin turgor, and fruity breath. *This Case Challenge is from the Editorial Team of Docplexus and is meant for educational purposes only.
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