Comparison of two methods of i.v. insulin administration in the diabetic patient during the perioperative period.

Abstract:

:We have examined the effects of two types of insulin therapy (continuous i.v. infusion (group A: 1.25 u. h-1) and direct i.v. bolus administration of 10 u. every 2 h (group B: 10 u./2 h)) on the metabolic and endocrine responses to surgery in 60 adult diabetic patients undergoing general anaesthesia for elective procedures. Blood glucose concentrations were measured every 15 min from just before induction of anaesthesia until 2 h after surgery. Plasma ketone bodies, lactate, pyruvate, insulin, C-peptide and counter-regulatory hormone concentrations were measured also. Blood glucose concentrations were comparable in both groups, except at 60 min, because of fluctuating blood glucose concentrations in group B. In each group, one patient became hyperglycaemic. One case of hypoglycaemia occurred in group B. There were no statistically significant differences for the other data except for C-peptide. We conclude that, during the operative period, the administration of a direct i.v. bolus of insulin 10 u. every 2 h is a simple and effective method to control blood glucose concentrations; the method can be used when an insulin infusion pump is not available.

journal_name

Br J Anaesth

authors

Raucoules-Aime M,Ichai C,Roussel LJ,Romagnan MJ,Gastaud P,Dolisi C,Grimaud D

doi

10.1093/bja/72.1.5

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

5-10

issue

1

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)45549-8

journal_volume

72

pub_type

临床试验,杂志文章
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    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章

    doi:10.1093/bja/48.3.217

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    更新日期:1984-11-01 00:00:00

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    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/ael057

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    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/87.6.876

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    更新日期:2001-12-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/bja/71.3.447

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    更新日期:1993-09-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

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