Transitioning safely from intravenous to subcutaneous insulin.

Abstract:

:The transition from intravenous (IV) to subcutaneous (SQ) insulin in the hospitalized patient with diabetes or hyperglycemia is a key step in patient care. This review article suggests a stepwise approach to the transition in order to promote safety and euglycemia. Important components of the transition include evaluating the patient and clinical situation for appropriateness, recognizing factors that influence a safe transition, calculation of proper SQ insulin doses, and deciding the appropriate type of SQ insulin. This article addresses other clinical situations including the management of patients previously on insulin pumps and recommendations for patients requiring glucocorticoids and enteral tube feedings. The use of institutional and computerized protocols is discussed. Further research is needed regarding the transition management of subgroups of patients such as those with type 1 diabetes and end-stage renal disease.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Kreider KE,Lien LF

doi

10.1007/s11892-015-0595-4

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

23

issue

5

eissn

1534-4827

issn

1539-0829

journal_volume

15

pub_type

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