Question

A 48-year-old with BMI 33 and new type 2 diabetes presents with DKA (pH 7.12, bicarbonate 10 mEq/L, anion gap 22, β-hydroxybutyrate elevated). After fluids and potassium checks, appropriate insulin strategy?

Accepted Answer

Continuous IV regular insulin 0.1 units/kg/hour (with or without 0.1 units/kg bolus)

Answer

Subcutaneous sliding scale insulin only

Answer

Start insulin infusion 0.01 units/kg/hour

Answer

Hold insulin until glucose <200 mg/dL

Answer

Give insulin drip plus bicarbonate for all

Practice question

A 48-year-old with BMI 33 and new type 2 diabetes presents with DKA (pH 7.12, bicarbonate 10 mEq/L, anion gap 22, β-hydroxybutyrate elevated). After fluids and potassium checks, appropriate insulin strategy?