Should long-acting subcutaneous insulin be started upfront in addition to regular insulin infusion for patients with diabetic ketoacidosis?  

After years of experience, our hospital has criteria for starting/managing DKA with subcutaneous insulin, so in those patients, yes, you can add a long-acting sub q insulin with regular insulin. In patients who are complicated, have a pH that is <7.1, or co-morbidity such that they are better ser...