6

A 21 year old boy is admitted with diabetic ketoacidosis. Which of the following options best describes the way his plasma glucose should be managed?

  1. Control his plasma glucose by multiple doses of insulin given subcutaneously according to a sliding scale until plasma glucose levels are near normal.
  2. Give long acting insulin intravenously until the plasma glucose is around 14mmol/L and then switch to short acting insulin given subcutaneously according to a sliding scale until normal plasma glucose is achieved.
  3. Give short acting insulin intravenously until the ketoacidotic state is controlled and then try to attain normal or near normal plasma glucose values with multiple doses of short acting insulin (given subcutaneously) with the help of a long acting insulin.

See answer

Unless otherwise stated, the content of this page is licensed under Creative Commons Attribution-ShareAlike 3.0 License