Oral Exam: DM

Question 1

ICU BG goals

Answer 1

140-180mg/dL

Question 2

Non-ICU BG goals

Answer 2

< 140mg/dL fasting

< 180mg/dL random

Question 3

IV to SQ Insulin transition

Answer 3

Take 75% IV daily dose
Divide by 2
1/2 = basal SQ, 1/2 = prandial

Question 4

HHS presentation

Answer 4

Insidious onset
Neurologic abnormalities
Marked dehydration
BG > 600
Osmolality > 320
pH > 7.3

Question 5

DKA presentation

Answer 5

Acute onset
High ketones
Kussmaul breathing

Question 6

HHS/DKA Treatment

Answer 6

IV fluids
Potassium replacement
IV insulin