Question

A 55-year-old with BMI 29 kg/m^2 and controlled hypertension has fasting glucose 142 mg/dL and A1c 9.8%. In DKA management, after initial fluids and potassium correction (K+ 4.0), what insulin strategy is correct?

Accepted Answer

Start insulin infusion 0.1 U/kg/h without bolus; add dextrose when glucose <200 mg/dL

Answer

Insulin bolus 0.3 U/kg then infusion 0.3 U/kg/h

Answer

Delay insulin until glucose <250 mg/dL

Answer

Start subcutaneous long-acting insulin only

Answer

Insulin infusion 0.05 U/kg/h for all adults

Practice question

A 55-year-old with BMI 29 kg/m^2 and controlled hypertension has fasting glucose 142 mg/dL and A1c 9.8%. In DKA management, after initial fluids and potassium correction (K+ 4.0), what insulin strategy is correct?