Q. A 65-year-old male patient with a history of type 2 diabetes presents to the emergency department with altered mental status and dehydration.
On physical examination, he is lethargic, confused, and dehydrated. His blood pressure is 100/70 mmHg, his pulse is 60 beats per minute, and his respiratory rate is 18 breaths per minute. A laboratory workup reveals his blood glucose level is 650 mg/dL and his serum osmolality is 320 mOsm/kg. His laboratory workup is consistent with HHS.
What is the most appropriate management for this patient?