ANSWER —
Incorrect.
Increases in the doses of insulin are necessary for the management of the patient's uncontrolled diabetes but not sufficient at this time to produce a meaningful decrease in the serum potassium level.
The patient needs additional therapy to break the pattern of recurrent hyperkalemia, which can no longer be attributed to hyperglycemia-induced hyperkalemia, to medications, or to impaired kidney function at the current levels of serum creatinine.
Return to the previous choice to try again. (See "Interactive diabetes case 15: A 74-year-old patient with type 2 diabetes and recurrent hyperkalemia – B3".)