Question

A 24-year-old woman presents with polyuria, polydipsia, vomiting and abdominal pain. Capillary glucose is 26 mmol/L, ketones 4.5 mmol/L, venous pH 7.12. After initial fluid resuscitation, which insulin strategy is recommended?

Accepted Answer

Fixed-rate insulin infusion 0.1 units/kg/hour

Answer

Variable-rate insulin infusion titrated to CBG

Answer

Fixed-rate insulin infusion 0.05 units/kg/hour

Answer

Immediate long-acting insulin 10 units subcutaneously

Answer

No insulin until pH normalises

Practice question

A 24-year-old woman presents with polyuria, polydipsia, vomiting and abdominal pain. Capillary glucose is 26 mmol/L, ketones 4.5 mmol/L, venous pH 7.12. After initial fluid resuscitation, which insulin strategy is recommended?