A 60-year-old with hyperglycemia and dehydration, glucose 980 mg/dL, pH 7.34, serum osmolality 330 mOsm/kg, minimal ketones. Initial insulin strategy?...

Question

A 60-year-old with hyperglycemia and dehydration, glucose 980 mg/dL, pH 7.34, serum osmolality 330 mOsm/kg, minimal ketones. Initial insulin strategy?

Accepted Answer

IV regular insulin infusion 0.05 U/kg/h after initial fluids

Answer

SQ correction-only insulin

Answer

IV insulin 0.5 U/kg/h

Answer

Hold insulin until glucose

Answer

IV insulin not needed in HHS

us-abem MCQ (SBA): HHS Insulin Dosing

A 60-year-old with hyperglycemia and dehydration, glucose 980 mg/dL, pH 7.34, serum osmolality 330 mOsm/kg, minimal ketones. Initial insulin strategy?