A 44-year-old woman with DKA has glucose 320 mg/dL and anion gap 20. After insulin infusion, glucose is 190 mg/dL but gap remains 16. Next step?...

Question

A 44-year-old woman with DKA has glucose 320 mg/dL and anion gap 20. After insulin infusion, glucose is 190 mg/dL but gap remains 16. Next step?

Accepted Answer

Add dextrose to IV fluids and continue insulin until anion gap closes

Answer

Stop insulin when glucose

Answer

Give IV bicarbonate

Answer

Switch to subcutaneous basal insulin immediately

Answer

Hold insulin to prevent hypoglycemia

us-abim MCQ (SBA): DKA Transition of Care