Question

A 50-year-old with DKA has glucose 380 mg/dL after initial fluids. K⁺ 4.2 mEq/L. What insulin strategy is recommended?

Accepted Answer

Regular insulin infusion 0.1 units/kg/h (no bolus acceptable)

Answer

Subcutaneous insulin only every 6 hours

Answer

Insulin infusion 0.5 units/kg/h

Answer

No insulin until glucose <250 mg/dL

Answer

Basal insulin only

Practice question

A 50-year-old with DKA has glucose 380 mg/dL after initial fluids. K⁺ 4.2 mEq/L. What insulin strategy is recommended?