Question

A 36-year-old with DKA on insulin infusion has glucose 180 mg/dL and closed anion gap. What is the next best step?

Accepted Answer

Add dextrose and continue insulin until ketoacidosis resolved

Answer

Stop insulin and IV fluids immediately

Answer

Switch to long-acting insulin only and stop infusion now

Answer

Give bicarbonate to clear ketosis

Answer

Begin oral agents

Practice question

A 36-year-old with DKA on insulin infusion has glucose 180 mg/dL and closed anion gap. What is the next best step?