A 28-year-old woman with diabetic ketoacidosis has improved after IV fluids and insulin. Anion gap is closed, bicarbonate is 20 mEq/L, she can eat,

Question

A 28-year-old woman with diabetic ketoacidosis has improved after IV fluids and insulin. Anion gap is closed, bicarbonate is 20 mEq/L, she can eat, and potassium is 4.2 mEq/L. Which of the following is the most appropriate at this time?

Accepted Answer

Give subcutaneous basal insulin before stopping IV insulin

Answer

Restrict oral intake for 48 hours

Answer

Start bicarbonate infusion despite normalizing pH

Answer

Continue insulin infusion after discharge

Answer

Stop IV insulin without basal coverage

Diabetic ketoacidosis transition — USMLE Step 3 MCQ

A 28-year-old woman with diabetic ketoacidosis has improved after IV fluids and insulin. Anion gap is closed, bicarbonate is 20 mEq/L, she can eat, and potassium is 4.2 mEq/L. Which of the following is the most appropriate at this time?