A 23-year-old man with type 1 diabetes develops diarrhoea and vomiting. Glucose is 9.8 mmol/L and capillary ketones are 2.1 mmol/L. He has omitted

Question

A 23-year-old man with type 1 diabetes develops diarrhoea and vomiting. Glucose is 9.8 mmol/L and capillary ketones are 2.1 mmol/L. He has omitted basal insulin because he is not eating. What is the most appropriate advice?

Accepted Answer

Continue basal insulin, take correction insulin and increase monitoring

Answer

Drink glucose-free fluids and avoid ketone checks

Answer

Stop insulin until eating normally

Answer

Take metformin until recovered

Answer

Exercise to clear ketones

Sick-day management in type 1 diabetes — SCE Endocrinology MCQ

A 23-year-old man with type 1 diabetes develops diarrhoea and vomiting. Glucose is 9.8 mmol/L and capillary ketones are 2.1 mmol/L. He has omitted basal insulin because he is not eating. What is the most appropriate advice?