Type 1 Diabetes Mellitus in Pediatrics — 12yo Child | Pediatric Endocrinology | SMLE Q#17289
SMLE Question #17289
Pediatrics
Pediatric Endocrinology
Objective: OBJ-173
Last updated: February 2026
A 12-year-old boy with type 1 diabetes mellitus is admitted to the PICU with moderate diabetic ketoacidosis and started on IV fluids and a continuous insulin infusion. One hour later, he develops a new severe headache with increasing confusion, and his Glasgow Coma Scale drops from 15 to 13. Examination shows no focal neurologic deficits. What is the most appropriate next step in management?
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