Assessment of sliding insulin use in the treatment of new onset hyperglycemia cause by stress in emergency patients without diabetes
- Author:
Nguyen Dat Anh
- Publication Type:Journal Article
- Keywords:
insulin
- MeSH:
Insulin;
Therapeutics;
Hyperglycemia;
Stress
- From:Journal of Practical Medicine
2005;505(3):74-77
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Sliding scale insulin was often applied for emergency patients. However there is no study on this therapy in Viet Nam. We used this therapy for 51 new onset hyperglycemic patients (glycemia > 200 mg/dl ) from 6/1998 to 2/2003. Regular insulin was injected when blood glucose>200 mg/dl, then blood glucose level was monitored by finger stick sugar Q4h. If glucose 200-300mg/dl, given 5IU of insulin, glucose>300 mg/dl, given 10 U.The goal blood glucose < 200mg/dl. Results: The average time to lower the blood glucose level to the target level was about 46h. The result after 7 days showed that glycemia was controlled < 200mg/dl and <150 mg/dl in 92% and 62% patientss, respectively.There was no severe hypoglycemia documented during the study.
