Question

In a patient with diabetic ketoacidosis being treated with IV fluids and fixed-rate insulin infusion, plasma glucose falls to 12 mmol/L while ketones remain elevated and acidosis persists. According to UK guidance, what adjustment should be made?

Accepted Answer

Continue the insulin infusion at the same rate and add 10% dextrose to the fluids.

Answer

Stop the insulin infusion to avoid hypoglycaemia.

Answer

Reduce the insulin infusion by half and continue saline only.

Answer

Increase insulin infusion rate to clear ketones faster.

Answer

Switch to subcutaneous rapid-acting insulin injections.

Practice question

In a patient with diabetic ketoacidosis being treated with IV fluids and fixed-rate insulin infusion, plasma glucose falls to 12 mmol/L while ketones remain elevated and acidosis persists. According to UK guidance, what adjustment should be made?