You are asked to see a 32-year-old woman, Mrs. Dawn Russo, with IDDM who presents to the Emergency Department complaining of abdominal pain and dysuria.
Mrs. Russo states she had been feeling well until two days prior to admission when she began to notice dysuria and urinary frequency. On the morning of admission she began to have nausea and abdominal pain, and because she was unable to eat, she stopped taking her insulin.