Question

A 12-year-old girl with type 1 diabetes presents with polyuria and abdominal pain. She is vomiting, has Kussmaul respirations and is drowsy. Blood glucose is 30 mmol/L, venous pH 7.05 and serum ketones 7 mmol/L. After initial fluid resuscitation, what is the recommended insulin regimen?

Accepted Answer

Fixed-rate intravenous insulin infusion at 0.1 units/kg/hour

Answer

Large intravenous bolus of insulin followed by no further insulin for 6 hours

Answer

Subcutaneous rapid-acting insulin 4-hourly only

Answer

Start long-acting insulin only

Answer

No insulin; fluids alone are sufficient

Practice question

A 12-year-old girl with type 1 diabetes presents with polyuria and abdominal pain. She is vomiting, has Kussmaul respirations and is drowsy. Blood glucose is 30 mmol/L, venous pH 7.05 and serum ketones 7 mmol/L. After initial fluid resuscitation, what is the recommended insulin regimen?