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A young patient with Type 1 Diabetes was brought in comatose to the ER

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A young patient with Type 1 Diabetes was brought in comatose to the ER. She was admitted with ketoacidosis and was resuscitated with saline hydration via insulin drip. When consciousness was regained, the patient reported feeling nauseated and vomiting the morning, of which the patient did not take their insulin because they had not eaten. The patient was treated with intravenous hydration and insulin drip. The following day, the patient’s lab work was within normal range, and no symptoms were experienced. Diagnoses at discharge were Diabetic ketoacidosis and juvenile-onset diabetes. ICD-10-CM = 3

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