Question

A 23-year-old woman presents with nausea, abdominal pain, and Kussmaul breathing. Capillary glucose 26 mmol/L, ketones 5.5 mmol/L, venous pH 7.12. What is the correct insulin strategy?

Accepted Answer

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

Answer

Bolus rapid-acting insulin 10 units then sliding scale

Answer

IV insulin 1 unit/hour regardless of weight

Answer

SC basal insulin 0.2 units/kg/day only

Answer

Delay insulin until fluids complete

Practice question

A 23-year-old woman presents with nausea, abdominal pain, and Kussmaul breathing. Capillary glucose 26 mmol/L, ketones 5.5 mmol/L, venous pH 7.12. What is the correct insulin strategy?