A 30-year-old woman develops DKA and is on fixed-rate insulin infusion. Her glucose falls to 12 mmol/L but ketones remain 3.2 mmol/L. Next step?...

Question

A 30-year-old woman develops DKA and is on fixed-rate insulin infusion. Her glucose falls to 12 mmol/L but ketones remain 3.2 mmol/L. Next step?

Accepted Answer

Start 10% dextrose infusion while continuing insulin

Answer

Stop insulin

Answer

Increase insulin to 0.2 units/kg/h

Answer

Give bicarbonate

Answer

Switch to SC insulin immediately

ukmla MCQ (SBA): DKA Ongoing Management