A 59-year-old with DKA is started on insulin infusion 0.1 U/kg/h. Glucose falls from 520 to 240 mg/dL in 2 hours; anion gap remains 18. What insulin a...

Question

A 59-year-old with DKA is started on insulin infusion 0.1 U/kg/h. Glucose falls from 520 to 240 mg/dL in 2 hours; anion gap remains 18. What insulin adjustment is recommended?

Accepted Answer

Reduce insulin to 0.05 U/kg/h while adding dextrose-containing fluids

Answer

Stop insulin infusion

Answer

Increase insulin to 0.2 U/kg/h

Answer

Switch to subcutaneous insulin immediately

Answer

Add bicarbonate infusion

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

A 59-year-old with DKA is started on insulin infusion 0.1 U/kg/h. Glucose falls from 520 to 240 mg/dL in 2 hours; anion gap remains 18. What insulin adjustment is recommended?