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 <200 mg/dL

Answer

Give IV bicarbonate

Answer

Switch to subcutaneous basal insulin immediately

Answer

Hold insulin to prevent hypoglycemia

Practice 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?