Question

A 64-year-old woman with type 2 diabetes on basal-bolus insulin develops nausea and abdominal pain; labs: glucose 265 mg/dL, anion gap 22, serum ketones positive, K+ 3.1 mEq/L. First management step?

Accepted Answer

Give IV potassium to K+ >3.3 mEq/L before insulin

Answer

Start insulin infusion 0.1 U/kg/h immediately

Answer

Give sodium bicarbonate

Answer

Start D5W infusion

Answer

Stop all insulin for 12 h

Practice question

A 64-year-old woman with type 2 diabetes on basal-bolus insulin develops nausea and abdominal pain; labs: glucose 265 mg/dL, anion gap 22, serum ketones positive, K+ 3.1 mEq/L. First management step?