Problem: Meet Doug, a 21-year-old male with a history of type 1 diabetes mellitus. Doug is taken to a local emergency department. Upon his arrival, it is noted that Doug seems easily confused. He complains of a headache, nau-sea, dry mouth, and excessive thirst. His breathing is rapid, and one of the nurses caring for him notes a fruity odor to his breath. Doug self-reports adherence with his insulin therapy