Question

A 23-year-old with type 1 diabetes presents with fatigue and polyuria. His blood glucose is 28 mmol/L, ketones are elevated, serum bicarbonate is 15 mmol/L, and pH is 7.25. According to NICE, what is the most appropriate initial step in managing diabetic ketoacidosis (DKA)?

Accepted Answer

IV fluid resuscitation with 0.9% saline and IV insulin infusion

Answer

IV sodium bicarbonate infusion

Answer

IM glucagon injection

Answer

Subcutaneous insulin infusion

Answer

Oral hypoglycemics

Practice question

A 23-year-old with type 1 diabetes presents with fatigue and polyuria. His blood glucose is 28 mmol/L, ketones are elevated, serum bicarbonate is 15 mmol/L, and pH is 7.25. According to NICE, what is the most appropriate initial step in managing diabetic ketoacidosis (DKA)?