A 58-year-old with T2DM presents with polyuria and ketonuria. Labs: glucose 420 mg/dL, pH 7.21, HCO3- 12 mEq/L, K+ 4.5 mEq/L, anion gap 20. After flui...

Question

A 58-year-old with T2DM presents with polyuria and ketonuria. Labs: glucose 420 mg/dL, pH 7.21, HCO3- 12 mEq/L, K+ 4.5 mEq/L, anion gap 20. After fluids, what insulin strategy is recommended?

Accepted Answer

IV regular insulin 0.1 units/kg/h

Answer

SC rapid-acting insulin every 2 hours

Answer

IV bolus insulin only

Answer

Start basal insulin glargine only

Answer

Hold insulin until gap closes

us-abim MCQ (SBA): DKA

A 58-year-old with T2DM presents with polyuria and ketonuria. Labs: glucose 420 mg/dL, pH 7.21, HCO3- 12 mEq/L, K+ 4.5 mEq/L, anion gap 20. After fluids, what insulin strategy is recommended?