Practice question

Answer the question and get instant feedback.

ModerateEndocrinologyDiabetic ketoacidosisuk-plab-1

A 24-year-old man with type 1 diabetes is admitted with abdominal pain, vomiting, and Kussmaul breathing. Capillary glucose is 26 mmol/L, ketones are 5.5 mmol/L, and venous pH is 7.12. What is the single most important initial management step?

Educational content. Not a substitute for clinical judgement or local policy.