A 66-year-old with DKA is on IV insulin at 0.1 U/kg/h; glucose falls to 240 mg/dL with persistent anion gap. Next step?...

Question

A 66-year-old with DKA is on IV insulin at 0.1 U/kg/h; glucose falls to 240 mg/dL with persistent anion gap. Next step?

Accepted Answer

Add dextrose and reduce insulin to 0.05 U/kg/h

Answer

Stop insulin now

Answer

Bolus insulin only

Answer

Stop fluids

Answer

Start subcutaneous insulin only

us-abim MCQ (SBA): DKA (glucose threshold management)