Question

A 60-year-old woman with suspected DKA has glucose 520 mg/dL, pH 7.12, HCO3− 10 mEq/L, positive ketones. After initial fluids, what insulin strategy is recommended?

Accepted Answer

IV insulin infusion 0.1 units/kg/h with goal glucose decrease 50-70 mg/dL per hour

Answer

IV insulin bolus only

Answer

Subcutaneous insulin glargine only

Answer

Hold insulin until anion gap closes spontaneously

Answer

Give IV insulin and stop when glucose reaches 250 mg/dL without dextrose

Practice question

A 60-year-old woman with suspected DKA has glucose 520 mg/dL, pH 7.12, HCO3− 10 mEq/L, positive ketones. After initial fluids, what insulin strategy is recommended?