Question

A 45-year-old man with type 2 diabetes has HHS (glucose 38 mmol/L, osmolality high, minimal ketones). What is the cornerstone of initial therapy?

Accepted Answer

Gradual IV 0.9% saline rehydration before insulin

Answer

Immediate insulin bolus

Answer

Rapid correction with hypotonic fluids

Answer

Aggressive potassium infusion first

Answer

Oral fluids only

Practice question

A 45-year-old man with type 2 diabetes has HHS (glucose 38 mmol/L, osmolality high, minimal ketones). What is the cornerstone of initial therapy?