Question

A 64-year-old with T2DM develops DKA. At resolution, anion gap closes and patient tolerates PO. How to transition insulin?

Accepted Answer

Give basal insulin 1-2 hours before stopping IV insulin

Answer

Stop IV insulin immediately and start basal next day

Answer

No insulin needed after gap closes

Answer

Use only sliding-scale insulin

Answer

Delay basal insulin until discharge

Practice question

A 64-year-old with T2DM develops DKA. At resolution, anion gap closes and patient tolerates PO. How to transition insulin?