Question

A 19-year-year-old with type 1 diabetes presents with DKA (capillary ketones 5.8 mmol/L, pH 7.22, glucose 22 mmol/L). What is the correct initial insulin strategy?

Accepted Answer

Fixed-rate IV insulin infusion at 0.1 units/kg/hour

Answer

Variable-rate insulin infusion titrated to glucose

Answer

Immediate subcutaneous long-acting insulin only

Answer

Insulin bolus 10 units IV then no infusion

Answer

No insulin until ketones <3 mmol/L

Practice question

A 19-year-year-old with type 1 diabetes presents with DKA (capillary ketones 5.8 mmol/L, pH 7.22, glucose 22 mmol/L). What is the correct initial insulin strategy?