[Expert Solution]: AN 18-YEAR-OLD MAN WITH INSULIN-DEPENDENT…

AN 18-YEAR-OLD MAN WITH INSULIN-DEPENDENT DIABETES MELLITUS (TYPE 1) IS SEEN IN THE EMERGENCY ROOM. HE DID NOT TAKE HIS INSULIN DURING THE PREVIOUS 24 HOURS BECAUSE HE DID NOT FEEL WELL AND WAS NOT EATING. HE NOW COMPLAINS OF WEAKNESS, NAUSEA, THIRST, AND FREQUENT URINATION. ON PHYSICAL EXAMINATION HE IS FOUND TO HAVE DEEP AND RAPID RESPIRATIONS. AT 2 AM THE FOLLOWING LABORATORY DATA ARE OBTAINED (ON LEFT):