Question

A 62-year-old with DKA is now at glucose 240 mg/dL with closing anion gap. What insulin and fluid adjustments are recommended?

Accepted Answer

Continue insulin infusion and switch to dextrose-containing fluids; consider reducing insulin to 0.05 units/kg/h while closing the gap

Answer

Stop insulin infusion; switch to diet control

Answer

Switch to subcutaneous insulin immediately without overlap

Answer

Stop fluids; continue full-rate insulin

Answer

Give bicarbonate routinely

Practice question

A 62-year-old with DKA is now at glucose 240 mg/dL with closing anion gap. What insulin and fluid adjustments are recommended?