Question

A 64-year-old with DKA is ready to transition off insulin infusion: anion gap closed; tolerating PO. Next step?

Accepted Answer

Administer long-acting basal insulin 1-2 hours before stopping infusion and start prandial insulin

Answer

Stop IV insulin and give long-acting insulin later

Answer

Switch to sliding scale only

Answer

No insulin on discharge if glucose controlled

Answer

Give only metformin

Practice question

A 64-year-old with DKA is ready to transition off insulin infusion: anion gap closed; tolerating PO. Next step?