Question

A 25-year-old with type 1 diabetes presents with abdominal pain, vomiting, and confusion. His blood glucose is 28 mmol/L and there are ketones in his urine. According to NICE, which of the following is the most important initial step in management?

Accepted Answer

IV fluids and IV insulin infusion

Answer

Subcutaneous insulin injection

Answer

Oral glucose-lowering medication

Answer

Bicarbonate infusion

Answer

Encourage oral hydration

Practice question

A 25-year-old with type 1 diabetes presents with abdominal pain, vomiting, and confusion. His blood glucose is 28 mmol/L and there are ketones in his urine. According to NICE, which of the following is the most important initial step in management?