Question

A 22-year-old woman with type 1 diabetes presents with abdominal pain, vomiting, glucose 24 mmol/L, capillary ketones 4.2 mmol/L, pH 7.22. First-line management?

Accepted Answer

Immediate fixed-rate IV insulin infusion and IV fluids

Answer

Start sliding-scale insulin and wait for fluids

Answer

IV bicarbonate immediately

Answer

Stop insulin and give dextrose

Answer

Antibiotics immediately

Practice question

A 22-year-old woman with type 1 diabetes presents with abdominal pain, vomiting, glucose 24 mmol/L, capillary ketones 4.2 mmol/L, pH 7.22. First-line management?