A 19-year-old with type 1 diabetes presents with weight loss, polyuria, and serum ketones. His capillary blood glucose is 25 mmol/L and arterial pH is...

Question

A 19-year-old with type 1 diabetes presents with weight loss, polyuria, and serum ketones. His capillary blood glucose is 25 mmol/L and arterial pH is 7.25. According to UK guidelines, which is the best initial management?

Accepted Answer

IV fluids (saline) with IV insulin infusion

Answer

IV insulin bolus only

Answer

SC insulin injection plus oral fluids

Answer

Oral hypoglycaemics

Answer

Bicarbonate infusion immediately

MCQ (SBA): Diabetic Ketoacidosis

A 19-year-old with type 1 diabetes presents with weight loss, polyuria, and serum ketones. His capillary blood glucose is 25 mmol/L and arterial pH is 7.25. According to UK guidelines, which is the best initial management?