Abstract
Several clinical scenarios mandate the use of an IV insulin infusion (often informally referred to as an “insulin drip”). Any inpatient with diabetic ketoacidosis (DKA) requires an IV insulin infusion for proper management; simply continuing subcutaneous injections is not the standard of care in the hospital. Also, a patient with hyperosmolar nonketotic hyperglycemia should be initially managed with IV insulin.
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The dose estimate for the subcutaneous rapid-acting insulin with meals should be fairly conservative, as many patients may be just beginning to resume food intake in this scenario. In general, we would recommend a dose of no more than 0.1 units/kg/day subcutaneously with each meal.
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© 2010 Springer Science+Business Media, LLC
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Mabrey, M.E., Lien, L.F. (2010). IV Insulin Infusions: How to Use an “Insulin Drip”. In: Lien, L., Cox, M., Feinglos, M., Corsino, L. (eds) Glycemic Control in the Hospitalized Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-60761-006-9_3
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DOI: https://doi.org/10.1007/978-1-60761-006-9_3
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