Mr. Santos, a 45-year-old Male with a History of Type 1 Diabetes, Presents to the Emergency Department with Complaints of Increased Thirst, Frequent Urination and Abdominal Pain. He Appears Lethargic and Has Deep, Rapid Breathing. His Blood Glucose Level Is 450 Mg/dl and His Arterial Blood Gas (ABG) Results Show Ph 7.20, Paco2 25 Mmhg and Bicarbonate (HCO3-) 15 Meq/l