AJ is admitted to the hospital for the second time this month for DKA. The 28-year-old has type 1 diabetes, wears a CGM, and uses insulin pen injections. AJs last A1c was 11.3%. AJs admitting glucose is 498 mg/dl, his pH is 7.05, and is anion gap is above 12.
What are the next steps?
- Give AJ 20 units of rapid-acting insulin IV push.
- Start IV fluids and evaluate electrolytes before starting IV insulin.
- Start IV insulin at 0.5 units/kg/hour.
- Initiate basal-bolus insulin.
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