Question

A 65-year-old man with DKA presents: glucose 28 mmol/L, ketones 5.5 mmol/L, pH 7.12. After initial fluids, what insulin regimen is recommended?

Accepted Answer

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

Answer

IV insulin sliding scale adjusted to capillary glucose

Answer

Bolus IV insulin 10 units then infusion 1 unit/hour

Answer

Subcutaneous rapid insulin every 2 hours

Answer

No insulin until pH normalises

Practice question

A 65-year-old man with DKA presents: glucose 28 mmol/L, ketones 5.5 mmol/L, pH 7.12. After initial fluids, what insulin regimen is recommended?