Question

A 22-year-old with type 1 diabetes presents with polyuria, polydipsia, and confusion. Serum ketones are elevated, blood glucose is 28 mmol/L, and bicarbonate is 12 mmol/L. What is the first step in management?

Accepted Answer

IV fluids (0.9% saline)

Answer

IV insulin bolus

Answer

IV sodium bicarbonate

Answer

Subcutaneous rapid-acting insulin

Answer

Oral fluids and insulin adjustment

Practice question

A 22-year-old with type 1 diabetes presents with polyuria, polydipsia, and confusion. Serum ketones are elevated, blood glucose is 28 mmol/L, and bicarbonate is 12 mmol/L. What is the first step in management?