A 12-year-old boy with known type 1 diabetes presents with abdominal pain, vomiting and deep, rapid respirations. Capillary glucose is 25 mmol/L, pH 7...

Question

A 12-year-old boy with known type 1 diabetes presents with abdominal pain, vomiting and deep, rapid respirations. Capillary glucose is 25 mmol/L, pH 7.10 and bicarbonate 10 mmol/L. What is the most appropriate management setting?

Accepted Answer

Immediate admission for IV fluids and insulin infusion according to paediatric DKA protocol

Answer

Manage at home with increased insulin injections

Answer

Oral rehydration and subcutaneous insulin only

Answer

Delay treatment until ketone levels normalise spontaneously

Answer

Treat with oral hypoglycaemic agents

au-amc MCQ (SBA): Diabetic ketoacidosis child

A 12-year-old boy with known type 1 diabetes presents with abdominal pain, vomiting and deep, rapid respirations. Capillary glucose is 25 mmol/L, pH 7.10 and bicarbonate 10 mmol/L. What is the most appropriate management setting?