SCE Endocrinology And Diabetes Practice Questions - Specialty Certificate Examination In Endocrinology And Diabetes Exam

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A patient with type 1 diabetes has DKA. Glucose is 29 mmol/L, pH 7.12, bicarbonate 8 mmol/L and potassium 3.1 mmol/L. What should happen before starting IV insulin?

Give IV bicarbonate routinely Replace potassium and delay insulin until potassium is safer Start a sulfonylurea Stop fluids to avoid cerebral oedema

Correct Answer:

Replace potassium and delay insulin until potassium is safer

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