Inpatient management of adults and children with type 1 diabetes.
Type 1 diabetes poses unique inpatient challenges because of the risks of diabetic ketoacidosis, uncontrolled hyperglycemia, and hypoglycemia. Although newer insulin analogs and insulin pumps provide means for improved glycemic control, they can be daunting for nonexperts. This article focuses on inpatient and perioperative insulin management of stable, nonketotic, nonpregnant adults and children with type 1 diabetes. These principles can also be applied to patients with steroid-induced hyperglycemia.
Tridgell
David M
DM
Division of Metabolism, Endocrinology and Nutrition, University of Washington, 1959 NE Pacific Street, Box 356426, Seattle, WA 98195, USA. tridge@uw.edu
Tridgell
Angela H
AH
Hirsch
Irl B
IB
D000328:Adult; D000465:Algorithms; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000378:metabolism / Q000628:therapy*; D006801:Humans; D007297:Inpatients; D007328:Insulin / Q000008:administration & dosage / Q000493:pharmacokinetics; D008954:Models, Biological; D019990:Perioperative Care / Q000379:methods
D001786:Blood Glucose; D007328:Insulin