作者
Magui Abdel Moneim Shalash, Ali Ahmed Abdel Rahim, Kamel Hemida Rohoma, Marwa Abdel Maaboud Elnabawy
发表日期
2016/5
期刊
American Journal of Internal Medicine
卷号
7
期号
1
页码范围
43-48
出版商
Science Publishing Group
简介
Diabetic ketoacidosis (DKA) is the commonest hyperglycemic emergency in people with diabetes. Fluid and insulin, commonly via intravenous route, is the mainstay of treatment; however, other methods of insulin administration have been tried. In this study, we aimed at comparing the efficacy and safety of continuous subcutaneous insulin infusion (CSII) to intravenous (IV) insulin infusion protocol using a short acting insulin analogue, glulisine, in patients with mild to moderate DKA. This is a prospective randomized controlled trial including 30 patients with DKA randomly assigned to receive Glulisine insulin via CSII or IV infusion. Metabolic parameters were observed till resolution of DKA. Primary end point was assessment of the duration till resolution. Secondary end points included total length of hospitalization, amount of insulin used and the number of hypoglycemic events. There were no statistical differences in …
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