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ModerateEndocrinologyDiabetic ketoacidosis – managementuk-plab-1

A 30-year-old man with type 1 diabetes is diagnosed with diabetic ketoacidosis. He is drowsy but maintaining his airway. Initial investigations confirm severe metabolic acidosis and marked ketonaemia. After airway, breathing and circulation are stabilised and intravenous fluid resuscitation commenced, what is the most appropriate next step in management?

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