Question

A 55-year-old with DKA now has glucose 210 mg/dL while anion gap remains 20. Next insulin/fluid adjustment?

Accepted Answer

Add dextrose to fluids and continue insulin infusion until ketoacidosis resolves

Answer

Stop insulin when glucose <250 mg/dL

Answer

Switch to SC insulin immediately

Answer

Hold fluids

Answer

Give bicarbonate infusion routinely

Practice question

A 55-year-old with DKA now has glucose 210 mg/dL while anion gap remains 20. Next insulin/fluid adjustment?