Question

A 32-year-old woman with type 1 diabetes presents with nausea, abdominal pain and polyuria. Capillary glucose is 24 mmol/L. Venous blood gas shows pH 7.12, bicarbonate 10 mmol/L, and ketones 4.5 mmol/L. According to Australian DKA protocols, what is the most appropriate initial insulin regimen?

Accepted Answer

Intravenous insulin infusion at 0.1 units/kg/hour after initial fluid resuscitation

Answer

Intravenous insulin bolus 10 units followed by infusion 1 unit/kg/hour

Answer

Subcutaneous rapid-acting insulin every 2 hours

Answer

Intravenous insulin infusion at fixed rate with no fluid resuscitation

Answer

No insulin until potassium is known

Practice question

A 32-year-old woman with type 1 diabetes presents with nausea, abdominal pain and polyuria. Capillary glucose is 24 mmol/L. Venous blood gas shows pH 7.12, bicarbonate 10 mmol/L, and ketones 4.5 mmol/L. According to Australian DKA protocols, what is the most appropriate initial insulin regimen?