The wife of a 43-year-old male patient has called 911 because her husband was difficult to wake up and now is lethargic with garbled speech. She reports a history of diabetes, stroke, renal failure, and high blood pressure. The patient's airway is patent, respirations are tachypneic but adequate, and radial pulse is rapid. Your partner reports the following vital signs: pulse, 136; respirations, 22 breaths/min; blood pressure, 106/62 mmHg; SpO2, 92%; and blood glucose, 642 mg/dL. What would be the most appropriate action in the care of this patient?

Acute Diabetic Complications can include diabetic ketoacidosis, hyperosmolar hyperglycemic state, or death.