Question

A 22-year-old with type 1 diabetes presents with DKA: glucose 24 mmol/L, ketones 5.5 mmol/L, venous pH 7.20. What is the recommended initial insulin strategy?

Accepted Answer

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

Answer

Bolus 10 units IV then stop

Answer

Sliding-scale insulin every 4 hours

Answer

No insulin until fluids complete

Answer

Subcutaneous rapid-acting insulin hourly

Practice question

A 22-year-old with type 1 diabetes presents with DKA: glucose 24 mmol/L, ketones 5.5 mmol/L, venous pH 7.20. What is the recommended initial insulin strategy?