Question

A 66-year-old with type 2 diabetes admitted for DKA. When glucose falls to 220 mg/dL on insulin infusion and anion gap remains elevated, what is the appropriate fluid adjustment?

Accepted Answer

Switch to 5-10% dextrose-containing fluids while continuing insulin

Answer

Continue isotonic saline without dextrose

Answer

Stop insulin infusion

Answer

Give bicarbonate infusion

Answer

Add mannitol

Practice question

A 66-year-old with type 2 diabetes admitted for DKA. When glucose falls to 220 mg/dL on insulin infusion and anion gap remains elevated, what is the appropriate fluid adjustment?