Question

A 22-year-old man presents with polyuria, polydipsia, nausea, and abdominal pain. Capillary ketones are 5.6 mmol/L, venous pH 7.17, bicarbonate 12 mmol/L, glucose 27 mmol/L. After initial fluid resuscitation, what insulin regimen should be started?

Accepted Answer

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

Answer

IV insulin bolus 10 units, then sliding scale

Answer

Subcutaneous rapid-acting insulin 10 units every 2 hours

Answer

IV insulin infusion 0.05 units/kg/hour

Answer

No insulin until ketones <3 mmol/L

Practice question

A 22-year-old man presents with polyuria, polydipsia, nausea, and abdominal pain. Capillary ketones are 5.6 mmol/L, venous pH 7.17, bicarbonate 12 mmol/L, glucose 27 mmol/L. After initial fluid resuscitation, what insulin regimen should be started?