Snapshot A 25-year-old male is brought to the emergency department by ambulance for loss of consciousness. He is accompanied by his girlfriend. His girlfriend states that she and the patient had gone out for his birthday. He had taken more insulin than usual because he knew he was going to eat and drink. A couple of hours later, he appeared “groggy” and then fainted. The patient has insulin dependent diabetes mellitus. He takes glargine and lispro. On physical examination, he is somnolent. Introduction Clinical definition login to view 2 more bullets Associated conditions login to view 8 more bullets Epidemiology Risk factors login to view 7 more bullets Presentation Symptoms login to view 7 more bullets Physical exam login to view 4 more bullets Evaluation Diagnostic testing login to view 10 more bullets Treatment Management approach login to view 1 more bullet First-line login to view 4 more bullets Second-line login to view 3 more bullets Complications Falls Death