A 52-year-old with DKA is started on IV insulin 0.1 U/kg/h. Glucose falls from 480 to 390 mg/dL in first hour. Best next insulin action?...

Question

A 52-year-old with DKA is started on IV insulin 0.1 U/kg/h. Glucose falls from 480 to 390 mg/dL in first hour. Best next insulin action?

Accepted Answer

Continue current rate; expect 50-70 mg/dL per hour decrease

Answer

Double rate immediately

Answer

Stop insulin now

Answer

Bolus 10 U IV then stop infusion

Answer

Switch to SQ insulin immediately

us-abem MCQ (SBA): DKA-Insulin Titration