Question

A 24-year-old woman with type 1 diabetes presents with abdominal pain and vomiting. Capillary glucose is 26 mmol per litre, venous pH 7.18 and ketones 4.8 mmol per litre. What is the most appropriate initial insulin regimen for her diabetic ketoacidosis?

Accepted Answer

Fixed-rate intravenous insulin infusion at 0.1 units per kilogram per hour

Answer

Sliding scale subcutaneous insulin every 4 hours

Answer

Large intramuscular bolus of soluble insulin

Answer

Restart usual basal–bolus regimen only

Answer

No insulin until ketones fall below 1 mmol per litre

Practice question

A 24-year-old woman with type 1 diabetes presents with abdominal pain and vomiting. Capillary glucose is 26 mmol per litre, venous pH 7.18 and ketones 4.8 mmol per litre. What is the most appropriate initial insulin regimen for her diabetic ketoacidosis?