DKA resolution: glucose is not the finish line
Educational use only. Not clinically reviewed45-year-old woman for resolution-criteria, insulin-dextrose continuity, bridged-transition, and recurrence-risk practice. About 8 simulated minutes.
What you will practise
- Activate endocrine, nursing, pharmacy, electrolyte, nutrition, and transition support.
- Connect the initial triad, treatment clock, current ketone, acid-base, potassium, glucose, and whole person.
- Recognize persistent DKA despite lower glucose and a closed anion gap.
- Review qualified insulin, dextrose, potassium, monitoring, resolution, and bridged-transition boundaries.
- Review the fixed 4-hour qualified-team report.
- Hand off recurrence, insulin, potassium, nutrition, precipitant, education, follow-up, and outcome risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Umpierrez GE, Davis GM, ElSayed NA, et al. Hyperglycemic Crises in Adults With Diabetes: A Consensus Report. Diabetes Care. 2024;47(8):1257-1275. doi:10.2337/dci24-0032.
- American Diabetes Association Professional Practice Committee. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026. Diabetes Care. 2026;49(Suppl 1):S339-S363.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.