question: Q:A 14-year-old female with no past medical history presents to the emergency department with nausea and abdominal pain. On physical examination, her blood pressure is 78/65, her respiratory rate is 30, her breath has a fruity odor, and capillary refill is > 3 seconds. Serum glucose is 820 mg/dL. After starting IV fluids, what is the next best step in the management of this patient?? 
  {'A': 'Intravenous regular insulin', 'B': 'Subcutaneous insulin glargine', 'C': 'Subcutaneous insulin lispro', 'D': 'Intravenous Dextrose in water', 'E': 'Intravenous glucagon'},