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Hard"Start subcutaneous rapid‑acting insulin only"The 2024 ADA consensus states insulin should be delayed if K⁺ <3.3 mEq/L; replete potassium 20-30 mEq/h first to avoid arrhythmias. Bicarbonate not indicated at pH 7.12; dextrose is added later when glucose approaches 200 mg/dL; subcutaneous insulin alone is not appropriate initially in severe DKA."ada consensus report (2024): hyperglycaemic crises in adults with diabetes"
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