50 years old type 1 diabetic women presented with shortness of breath; her blood gases showed the following:

Ph = 7.481

pCO2 = 21 mmHg

pO2 = 44 mmHg

HCO3 = 15.6 mmol/L

Hb = 98 g/L

Na = 133 mmol/L

K = 4.1 mmol/L

Cl = 98 mmol/L

Glucose = 31 mmol/L

Lactate = 2.7 mmol/L

Creatinine = 154 umol/L

Ketones = 4.5 mmol/L

Explain these results