Question

A 24-year-old man with type 1 diabetes presents with polyuria, vomiting and abdominal pain. He is tachycardic, Kussmaul breathing, with capillary glucose 25 mmol/L, pH 7.1 and ketonaemia. After initial fluid resuscitation and potassium assessment, what is the recommended insulin regimen?

Accepted Answer

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

Answer

Single IV insulin bolus then stop

Answer

Variable subcutaneous insulin sliding scale

Answer

No insulin until glucose normalises

Answer

High-dose IM insulin injections every 2 hours

Practice question

A 24-year-old man with type 1 diabetes presents with polyuria, vomiting and abdominal pain. He is tachycardic, Kussmaul breathing, with capillary glucose 25 mmol/L, pH 7.1 and ketonaemia. After initial fluid resuscitation and potassium assessment, what is the recommended insulin regimen?