Question

A 23-year-old man with type 1 diabetes presents with abdominal pain, vomiting, Kussmaul respirations, capillary ketones 4.2 mmol/L, venous pH 7.16, glucose 22 mmol/L. What is the initial insulin management?

Accepted Answer

Start fixed-rate IV insulin infusion 0.1 units/kg/hour

Answer

IV insulin bolus then infusion

Answer

Increase home basal insulin only

Answer

Subcutaneous rapid-acting insulin every 2 hours

Answer

Delay insulin until fluids complete

Practice question

A 23-year-old man with type 1 diabetes presents with abdominal pain, vomiting, Kussmaul respirations, capillary ketones 4.2 mmol/L, venous pH 7.16, glucose 22 mmol/L. What is the initial insulin management?