10-year Type 1 Diabetes in Medicine / Internal Medicine — 25yo Man | Endocrinology | SMLE Q#17083

SMLE Question #17083

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 25-year-old man with a 10-year history of type 1 diabetes mellitus on a basal-bolus insulin regimen is found in a clinic waiting area drowsy and diaphoretic, not following verbal commands, and unable to swallow safely. A bedside capillary glucose is markedly low. What is the most appropriate immediate action?

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