Question

An 80-year-old with T2DM is admitted with HHS (glucose 37 mmol/L, effective osmolality high, minimal ketones). Which is the most important immediate treatment goal?

Accepted Answer

Gradual fluid resuscitation to correct dehydration and osmolality

Answer

Rapid insulin bolus for quick glucose drop

Answer

Immediate potassium infusion irrespective of level

Answer

Immediate bicarbonate therapy

Answer

Start metformin

Practice question

An 80-year-old with T2DM is admitted with HHS (glucose 37 mmol/L, effective osmolality high, minimal ketones). Which is the most important immediate treatment goal?