In children with type 1 diabetes presenting with polyuria and weight loss, what is initial management in the ED if DKA is suspected?

• A. Administer rapid insulin infusion before fluids.
• B. Begin fluid resuscitation with isotonic saline and obtain labs; start DKA protocol as indicated.
• C. Reassure and discharge.
• D. Provide only oral fluids and observe.

Answer: (B)