A 78-year-old man with HHS (glucose 42 mmol/L, osmolality high) is drowsy and dehydrated. Which statement regarding insulin is correct?...

Question

A 78-year-old man with HHS (glucose 42 mmol/L, osmolality high) is drowsy and dehydrated. Which statement regarding insulin is correct?

Accepted Answer

Delay insulin; prioritise fluid resuscitation first

Answer

Start fixed-rate insulin immediately at presentation

Answer

Use IV insulin bolus then infusion

Answer

Insulin unnecessary in HHS

Answer

Switch to subcutaneous insulin immediately

mrcp part 1 MCQ (SBA): HHS