Calculate the anion gap. What is the cause of the anion gap in this patient?

Calculate the anion gap. What is the cause of the anion gap in this patient?

A 15-year-old girl in a coma was brought to the emergency room by her parents. She had diabetes and has been insulin dependent for 7 years. Her parents stated that there have been several episodes of hypoglycemia and ketoacidosis in the past and hat their daughter has often been “too busy” to take her insulin injections. The results of laboratory testing performed upon admission are listed below:
What is the diagnosis?
Calculate the anion gap. What is the cause of the anion gap in this patient?
Why are chloride and bicarbonate decreased? What is the significance of the elevated potassium value?
What is the significance of the plasma osmolality

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