starting insulin differs between DKA and HHS


  • For DKA patients, insulin infusion is started at 0.1 u/kg bolus followed by 0.1 u/kg/hr infusion
  • For HHS patients, insulin is not bolused and started with infusion at 0.05 u/kg/hr. The reason is that you do not want to drop glucose too quickly in HHS patients, because they will develop cerebral edema1

Footnotes

  1. https://emcrit.org/ibcc/hhs/