when do you give the patient insulin in HONK?? CCS CASE

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Posted by ss from IP 71.103.81.23 on May 22, 2009 at 20:10:06:

I was doing a case of HONK on USMLE CONSULT and the patient had finger stick of 1100. The USMLE kept on doing tests and tests without starting insulin and deducted 4 points if you start insulin before..... They started insulin in the end. Shouldn't we start insulin iv the moment we come to know the pt has extremely high glucose?

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