Question

A 25-year-old with type 1 diabetes presents with DKA: pH 7.18, glucose 520 mg/dL, K⁺ 2.9 mEq/L. What is the correct immediate management step regarding insulin?

Accepted Answer

Delay insulin until potassium is ≥3.3 mEq/L after replacement

Answer

Start insulin infusion 0.14 units/kg/h immediately

Answer

Give IV insulin bolus 0.1 units/kg then 0.1 units/kg/h

Answer

Hold all therapy until K⁺ normalizes to ≥4.0 mEq/L

Answer

Start subcutaneous rapid-acting insulin only

Practice question

A 25-year-old with type 1 diabetes presents with DKA: pH 7.18, glucose 520 mg/dL, K⁺ 2.9 mEq/L. What is the correct immediate management step regarding insulin?