Question

A 48-year-old with new diabetes presents with polyuria and polydipsia. Random plasma glucose is 324 mg/dL and ketones are present; pH 7.27, bicarbonate 15 mEq/L, anion gap 18. Initial insulin management per consensus?

Accepted Answer

IV insulin infusion ~0.1 units/kg/h after fluids and potassium assessment

Answer

Regular insulin IV bolus 0.3 units/kg then no infusion

Answer

Subcutaneous insulin only every 6 hours

Answer

Start insulin only after pH normalizes

Answer

Hold insulin if glucose <350 mg/dL

Practice question

A 48-year-old with new diabetes presents with polyuria and polydipsia. Random plasma glucose is 324 mg/dL and ketones are present; pH 7.27, bicarbonate 15 mEq/L, anion gap 18. Initial insulin management per consensus?