Question

A 24-year-old with type 1 diabetes presents with DKA: pH 7.12, bicarbonate 10 mEq/L, glucose 560 mg/dL, potassium 4.6 mEq/L, anion gap 25. After initial 1-2 L isotonic crystalloid and confirming K⁺>3.3 mEq/L, what insulin strategy is recommended?

Accepted Answer

IV regular insulin infusion at 0.1 units/kg/h

Answer

IV regular insulin bolus 0.3 units/kg then 0.05 units/kg/h

Answer

Subcutaneous rapid-acting insulin every 2 hours

Answer

Start basal insulin glargine only and hold IV insulin

Answer

Delay insulin until K⁺ <3.3 mEq/L

Practice question

A 24-year-old with type 1 diabetes presents with DKA: pH 7.12, bicarbonate 10 mEq/L, glucose 560 mg/dL, potassium 4.6 mEq/L, anion gap 25. After initial 1-2 L isotonic crystalloid and confirming K⁺>3.3 mEq/L, what insulin strategy is recommended?