ABSTRACT

A 16-year-old girl was found unconscious in her room and has been brought to hospital. She was diagnosed with type 1 diabetes mellitus three years earlier, and currently uses NovoMix 30, 8 units twice daily. Her glycated haemoglobin (HbA1c) was checked last month and was 6.1 per cent (normal range 4-5.9), indicating an average blood glucose level of 7.0 mmol/L over the past three months. She has been suffering from a sore throat and influenza-like symptoms over the preceding days. Her parents say that she has not given herself as much insulin as normal as she had been eating and drinking less.