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Insulin administration is not as simple as – receive a DKA patient and start insulin right away. Potassium levels and osmolality are very important considerations. In light of these two factors following decisions are made:
* Decide to administer or delay the insulin
* Insulin dose
* Duration over which to administer the insulin
* The amount of glucose reduction per hour to avoid cerebral edema
Dr. Mobeen discusses these decision points and the insulin dosage per kilogram body weight with the given glucose and potassium levels.

A review of the DKA management approach:

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