Type 1 Diabetes Mellitus in Medicine / Internal Medicine — 24yo Man | Endocrinology | SMLE Q#12450
SMLE Question #12450
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 24-year-old man with type 1 diabetes mellitus presents to the emergency department with 1 day of abdominal pain, nausea, and polyuria after missing several insulin doses. He is drowsy and dehydrated with Kussmaul respirations and a fruity breath odor. After securing the airway, the team plans initial treatment for suspected diabetic ketoacidosis. What is the most appropriate next step in management?
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