Type 1 Diabetes Has in Medicine / Internal Medicine — 20yo Man | Endocrinology | SMLE Q#10240
SMLE Question #10240
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 20-year-old man with type 1 diabetes has 1 day of worsening vomiting and diffuse abdominal pain after 2 days of watery diarrhoea and poor intake. He missed all insulin for 24 hours and appears dehydrated with Kussmaul breathing. Findings are consistent with diabetic ketoacidosis, and he has received initial IV isotonic fluids. Which insulin regimen is most appropriate now in the emergency department?
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