Question

A 33-year-old man in the ED with DKA (glucose 520 mg/dL, anion gap 26, K+ 4.6, pH 7.14) after initial 1 L isotonic fluids. What insulin strategy is acceptable?

Accepted Answer

Start IV regular insulin infusion at 0.1 units/kg/hour without bolus

Answer

Give 10 units IV bolus insulin only

Answer

Subcutaneous rapid-acting insulin every 6 hours

Answer

Hold insulin until potassium <3.0 mEq/L

Answer

Start insulin only after glucose <250 mg/dL

Practice question

A 33-year-old man in the ED with DKA (glucose 520 mg/dL, anion gap 26, K+ 4.6, pH 7.14) after initial 1 L isotonic fluids. What insulin strategy is acceptable?