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Hourly Subcutaneous Insulin
Aka: Hourly Subcutaneous Insulin, Hourly Subcutaneous Insulin Aspart, Hourly Subcutaneous Insulin Lispro
- See Also
- Insulin Infusion
- Diabetic Ketoacidosis
- Indications
- Diabetic Ketoacidosis in adults
- Protocol: Subcutaneous InsulinLispro
- Initial dose: 0.3 units/kg
- Next: 0.1 units/kg/hour until Hyperglycemia corrects
- Next: 0.05 units/kg/hour until DKA resolves
- Coadminister fluids as per Diabetic Ketoacidosis
- Discontinue hourly dosing when Glucose 150-200
- Precautions
- Correct Hypokalemia prior to Insulin Dosing
- Fluid administration is central to DKA treatment
- Monitoring
- Blood Glucose every 30 minutes to 1 hour
- Advantage over Insulin Infusion
- May be monitored on regular medical ward (non-ICU)
- Reduced cost by 39% compared with infusion
- Safety and efficacy
- As effective and safe as Insulin Infusion
- References
- Umpierrez (2004) Am J Med 117:291-6 [PubMed]
- Karoli (2011) Indian J Pharmacol 43(4): 398-401 [PubMed]