Question

A 58-year-old man with acute DKA presents: glucose 520 mg/dL, K⁺ 4.7 mEq/L, pH 7.19, anion gap 24. Initial insulin strategy?

Accepted Answer

IV insulin 0.1 units/kg bolus then 0.1 units/kg/h infusion

Answer

Subcutaneous insulin only

Answer

Start insulin only after K⁺ <3.3 mEq/L

Answer

IV insulin 10 units/hour fixed dose

Answer

Insulin infusion without fluids

Practice question

A 58-year-old man with acute DKA presents: glucose 520 mg/dL, K⁺ 4.7 mEq/L, pH 7.19, anion gap 24. Initial insulin strategy?