A 35 years old male patient, a known case of diabetes mellitus presented in emergency in a comatised condition.
On further examination patient was found to be dehydrated and the urine of the patient had a fruity smell.
A diagnosis of diabetic ketoacidosis was made.
The following treatment was given to the patient
inj. insulin 0.1-0.2 units/kg i.v. bolus
followed by 0.1 unit/kg/hour
After the blood sugar reached a value of 300mg/dL the dose of insulin was reduced to 2-3 units/hour
Fluids(normal saline) were administered
Sodium bicarbonate was administered to correct the acidosis.
KCl and Na-K phosphate were administered to correct serum potassium and phosphate levels.
Can there be any other alternative treatment for such a case ?
How can we prevent ketoacidosis ?