A 55-year-old with suspected DKA but labs show glucose 680 mg/dL, pH 7.38, osmolality high, minimal ketones. Best insulin approach for HHS?...

Question

A 55-year-old with suspected DKA but labs show glucose 680 mg/dL, pH 7.38, osmolality high, minimal ketones. Best insulin approach for HHS?

Accepted Answer

Start IV insulin 0.05 units/kg/hr after fluids

Answer

Start IV insulin 0.1 units/kg/hr

Answer

Subcutaneous insulin only

Answer

No insulin needed

Answer

High-dose insulin bolus 0.3 units/kg

us-abem MCQ (SBA): Hyperosmolar Hyperglycemic State