Vomiting, thirsty, and breathing hard

A 24-year-old is brought in by a friend after two days of vomiting and a headache.

24-year-old manED, resus 1Fictitious educational patient

Type 1 diabetes since age 11Recently moved cities

Day 0 · 16:20

Arrival

Two days of vomiting, thirst and abdominal pain. His friend says he has been 'off his food' and has not been using his insulin because he was not eating. He is breathing deeply and his breath smells sweet.

Vitals

HR128BP98/58RR32SpO299%T37.1

Which statement about his insulin best reflects what has happened?

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