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Current Diabetes Reports
Published in: Current Diabetes Reports 5/2015

01-05-2015 | Hospital Management of Diabetes (GE Umpierrez, Section Editor)

Transitioning Safely from Intravenous to Subcutaneous Insulin

Authors: Kathryn Evans Kreider, Lillian F. Lien

Published in: Current Diabetes Reports | Issue 5/2015

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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.
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Metadata
Title
Transitioning Safely from Intravenous to Subcutaneous Insulin
Authors
Kathryn Evans Kreider
Lillian F. Lien
Publication date
01-05-2015
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 5/2015
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-015-0595-4

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