Question

A 29-year-old with new-onset DKA receives insulin infusion; glucose falls to 220 mg/dL but anion gap persists. Next best step?

Accepted Answer

Continue insulin and start dextrose-containing fluids to maintain glucose 150-200

Answer

Stop insulin once glucose <250

Answer

Give long-acting insulin only

Answer

Bolus bicarbonate for all

Answer

Stop potassium replacement

Practice question

A 29-year-old with new-onset DKA receives insulin infusion; glucose falls to 220 mg/dL but anion gap persists. Next best step?