A 21-year-old noncompliant female with a history of type (insulin-dependent) diabetes mellitus was found in a coma. Her blood glucose was high, as well as her urine glucose, urine ketones, and serum ketones. Her serum bicarbonate was <12 meq/L. Her respiration was exaggerated, and his breath had an acetone odor. Her blood pressure was 90/60, and his pulse weak and rapid (120).

a) Diabetic ketoacidosis
b) Hyperosmolar hyperglycemic state
c) Hypoglycemia
d) Hyperglycemic hyperosmolar nonketotic syndrome