Case presentation: A 23-year-old Caucasian male with chronic insulin-dependent diabetes mellitus was brought to the emergency department. The patient’s mother informed that he was lethargic and confused that morning. Medical history: As per the patient’s mother, he was in good health, with no history of any other illness. Social history: The patient did not consume alcohol, smoke, or use illicit drugs. Medication history: He was on insulin detemir and insulin aspart for two years. Surgical and family history: He had no significant family history and had no previous surgical history either.
Due to recent financial struggles, he was not taking his insulin regularly. Physical examination: The patient appeared ill and was in moderate distress and was tachypneic. The respiratory rate was 16 breaths per minute. Other vital parameters were normal. He was somnolent but was able to follow…
