Seek emergency medical care immediately
Check blood glucose and blood ketones if available
Stop eating and drinking only if instructed by a clinician
Give rapid-acting insulin as directed by a healthcare professional
Replace fluids with oral rehydration if able to drink
Use intravenous fluids in the hospital
Correct electrolyte imbalances, especially potassium
Monitor blood glucose, ketones, and acid-base status frequently
Treat the underlying cause, such as infection or missed insulin
Continue close medical supervision until ketones and acidosis resolve