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Chapter 35 - Intravenous Insulin Infusions

from Part 8 - Diabetes

Published online by Cambridge University Press:  08 June 2020

Hugh Montgomery
Affiliation:
Centre for Human Health and Performance, University College London
Robert Shulman
Affiliation:
University College Hospitals London
Mayur Murali
Affiliation:
Whittington Hospital, London
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Summary

Control of glucose levels in diabetics is difficult during illness and perioperatively; they are affected by counter-regulatory hormones, unpredictable eating, lack of exercise and many other factors. Tight control is important: it improves outcomes in critically ill patients and reduces infection rates. A variety of different methods have emerged to administer IV insulin, inculding fixed and variable rate insulin infusions. This chapter provides a tutorial on variable rate insulin infusions, including a worked example, what monitoring is required and possible pitfalls.

Type
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Information
Surviving Prescribing
A Practical Guide
, pp. 153 - 154
Publisher: Cambridge University Press
Print publication year: 2020

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