一位第一型糖尿病病人被發現意識不清，護理師應懷疑何種狀況？

第一型糖尿病病人在意識不清時，應優先考慮低血糖，因其發生速度極快且致命。HHS 多見於第二型糖尿病。DKA 雖然也可能導致意識障礙，但通常伴隨多尿、噁心嘔吐與呼氣水果味，相比之下，低血糖的急迫性最高，處置流程應先排除低血糖。

Severe hypoglycemia is the most likely cause of unconsciousness in a client with type 1 diabetes due to its rapid onset and high mortality risk. While diabetic ketoacidosis can also cause altered consciousness, it typically presents with specific signs like Kussmaul respirations and a fruity breath odor. Therefore, the nurse must prioritize ruling out hypoglycemia immediately as it requires urgent intervention.

美國護理教育強調 'Cold and Clammy, need some candy' 的衛教；台灣則著重於教導家屬使用升糖素或緊急送醫。