Question

A 26-year-old man presents with weight loss, polydipsia and polyuria. Capillary blood glucose is 26 mmol per litre. Venous blood gas shows pH 7.15, bicarbonate 10 mmol per litre and ketones 5 mmol per litre. What is the most appropriate initial management in hospital

Accepted Answer

Start fixed-rate intravenous Insulin infusion with intravenous fluids and potassium monitoring

Answer

Give a single large intravenous Insulin bolus

Answer

Start subcutaneous rapid-acting Insulin every hour

Answer

Treat with oral Metformin and review

Answer

Observe with oral fluids only

Practice question

A 26-year-old man presents with weight loss, polydipsia and polyuria. Capillary blood glucose is 26 mmol per litre. Venous blood gas shows pH 7.15, bicarbonate 10 mmol per litre and ketones 5 mmol per litre. What is the most appropriate initial management in hospital