Question

A 30-year-old with DKA: pH 7.12, glucose 520 mg/dL, K+ 5.2 mEq/L, creatinine normal. After initial isotonic fluids, what insulin strategy is recommended?

Accepted Answer

Start IV insulin infusion 0.1 units/kg/h

Answer

Subcutaneous rapid-acting insulin 0.1 units/kg every 2 hours

Answer

Begin IV insulin only after bicarbonate

Answer

Withhold insulin until K+ <3.3 mEq/L

Answer

Long-acting basal insulin only

Practice question

A 30-year-old with DKA: pH 7.12, glucose 520 mg/dL, K+ 5.2 mEq/L, creatinine normal. After initial isotonic fluids, what insulin strategy is recommended?