A 62-year-old man develops DKA (pH 7.12, anion gap 24). After initial fluids and potassium assessed at 4.2 mEq/L, which insulin strategy is recommende...

Question

A 62-year-old man develops DKA (pH 7.12, anion gap 24). After initial fluids and potassium assessed at 4.2 mEq/L, which insulin strategy is recommended?

Accepted Answer

Regular insulin IV bolus 0.1 U/kg then infusion 0.1 U/kg/h (or infusion 0.14 U/kg/h without bolus)

Answer

Bicarbonate 10 mEq/L

Answer

Anion gap 24

Answer

Which insulin strategy is recommended?

Answer

Subcutaneous insulin glargine 0.3 U/kg only

endocrinology MCQ (SBA): ADA (2024): Standards of Care-DKA Management

A 62-year-old man develops DKA (pH 7.12, anion gap 24). After initial fluids and potassium assessed at 4.2 mEq/L, which insulin strategy is recommended?