Question

A 24-year-old man with type 1 diabetes presents with abdominal pain, Kussmaul breathing and capillary ketones 5.5 mmol/L. Venous pH is 7.12 and glucose 26 mmol/L. First-line insulin strategy?

Accepted Answer

Fixed-rate IV insulin infusion at 0.1 units/kg/h

Answer

IV insulin bolus then variable-rate insulin infusion

Answer

Subcutaneous rapid-acting insulin every 2 hours

Answer

Insulin added after 2 litres of fluid resuscitation only

Answer

No insulin until potassium is corrected

Practice question

A 24-year-old man with type 1 diabetes presents with abdominal pain, Kussmaul breathing and capillary ketones 5.5 mmol/L. Venous pH is 7.12 and glucose 26 mmol/L. First-line insulin strategy?