How long after a DKA episode do you anticipate patients with ketosis prone diabetes mellitus to be able to discontinue insulin therapy?

If the patient is antibody negative with beta cell function, they can usually discontinue insulin 1 to 2 months after the initial diabetic ketoacidosis (DKA) event (I typically order the antibodies and C-peptide at their first follow-up visit and then will start to pull off insulin once I have the r...

After 2 weeks, a meal-stimulated C-peptide can be checked and, if normal, the patient may be able to taper off insulin as long as requiring less than 10 to 20 units per day.