Question

A 34-year-old woman presents with polyuria and polydipsia. Random glucose 28 mmol/L, ketones 4.0 mmol/L, pH 7.20, bicarbonate 14 mmol/L. Immediate management priority?

Accepted Answer

IV insulin infusion and fluid resuscitation

Answer

Start metformin

Answer

Subcutaneous insulin once daily

Answer

Give sodium bicarbonate IV

Answer

Oral rehydration

Practice question

A 34-year-old woman presents with polyuria and polydipsia. Random glucose 28 mmol/L, ketones 4.0 mmol/L, pH 7.20, bicarbonate 14 mmol/L. Immediate management priority?