A 62-year-old with T2DM presents with DKA (glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L). After initial fluids and potassium checked at 4.2 mEq/L,...

Question

A 62-year-old with T2DM presents with DKA (glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L). After initial fluids and potassium checked at 4.2 mEq/L, what insulin strategy is recommended?

Accepted Answer

Regular insulin IV infusion 0.1 units/kg/hour after 0.1 units/kg IV bolus (or infusion without bolus per protocol)

Answer

pH 7.12

Answer

bicarbonate 10 mEq/L). After initial fluids and potassium checked at 4.2 mEq/L

Answer

what insulin strategy is recommended?

Answer

Subcutaneous long-acting insulin only

or delaying insulin are inappropriate. im dosing is not standard.” MCQ (SBA): very high rates

A 62-year-old with T2DM presents with DKA (glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L). After initial fluids and potassium checked at 4.2 mEq/L, what insulin strategy is recommended?