A 25-year-old woman presents to the emergency department complaining of chills, right facial swelling, purulent nasal discharge from the right nostril and retro-orbital headache on the same side for the past four days. The woman has a 15-year history of type 1 diabetes and reports difficulty in controlling her blood sugars over the same period. Her glucometer typically shows blood sugars ranging between 300-400 mg/dL and she says that they peaked at a critical range (above 500) two times yesterday. She has been experiencing polyuria, polydipsia and polyphagia similar to the period when she was first diagnosed. Other medical history includes hypertension and polycystic ovarian syndrome. The patient has no allergies and takes glargine insulin
