Question

During DKA treatment, plasma glucose falls to 195 mg/dL but the anion gap remains 18. Best next step?

Accepted Answer

Add dextrose to IV fluids and continue insulin infusion

Answer

Stop insulin because glucose is <200 mg/dL

Answer

Switch to subcutaneous insulin immediately

Answer

Give bicarbonate routinely

Answer

Hold fluids to avoid hypoglycaemia

Practice question

During DKA treatment, plasma glucose falls to 195 mg/dL but the anion gap remains 18. Best next step?