Question

A 28-year-old with T1D is admitted with DKA: glucose 420 mg/dL, pH 7.12, HCO₃⁻ 10 mEq/L, K⁺ 5.1 mEq/L. After initial fluids, what is the recommended insulin therapy?

Accepted Answer

IV regular insulin infusion 0.1 units/kg/hour (with optional 0.1 units/kg bolus)

Answer

Regular insulin IV bolus 0.3 units/kg then no infusion

Answer

Subcutaneous insulin only every 6 hours

Answer

Start dextrose infusion first

Answer

Hold insulin until K⁺ <4.0 mEq/L

Practice question

A 28-year-old with T1D is admitted with DKA: glucose 420 mg/dL, pH 7.12, HCO₃⁻ 10 mEq/L, K⁺ 5.1 mEq/L. After initial fluids, what is the recommended insulin therapy?