Intravenous insulin infusion during hospitalization

Janusz Krzymień

ISSN: 1505-8409

Przewodnik Lekarza/Guide for GPs

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4/2007
vol. 10

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abstract:

Intravenous insulin infusion during hospitalization

Janusz Krzymień

Przew Lek 2007; 4: 73-79

Online publish date: 2007/07/09

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Clinical studies have shown that maintaining normal blood glucose level improves clinical outcomes in critically ill diabetic patients. There is general consensus that: • intensive insulin therapy with intravenous insulin, with the goal of maintaining blood glucose 80-110 mg/dl, reduces mortality among critically ill patients in the intensive care unit; • intravenous insulin infusion is safe and effective for achieving metabolic control during major surgery, haemodynamic instability and NPO status; • intravenous insulin infusion improves survival in patients after myocardial infarction and stroke; • in cases of DKA and HHS, regular insulin should be administered by means of continuous infusion in small doses through an infusion pump.

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Intravenous insulin infusion during hospitalization

Janusz Krzymień

intravenous insulin infusion, normoglycaemia, critical illness