A 22-year-old woman is agitated, her behavior is abnormal, her consciousness is clouded. She has a history of type 1 diabetes for the last 4 years with the labile course. She receives insulin therapy in the dose of 54 units per 24 hours. Objectively, her skin is moist and cold to the touch, she has hyperreflexia and dilated pupils. Her respiration is vesicular. Blood pressure -140/90 mm Hg, pulse 88/min. Blood testing revealed glycemia of 2.3 mmol/L. and aglucosuria. What is the most likely diagnosis in this case?