Real-life evaluation of consensus recommendations for transition to subcutaneous insulin in hyperosmolar hyperglycemic crises

A recent consensus report on hyperglycemic crises included recommendations for calculating the subcutaneous insulin dose when transitioning from intravenous insulin. In 95 patients admitted for hyperosmolar hyperglycemic crisis, there were no significant differences in post-transition glycemic contr...

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Bibliographic Details
Published inJournal of diabetes and its complications Vol. 38; no. 12; p. 108902
Main Authors González-Vidal, Tomás, Rivas-Otero, Diego, Ares-Blanco, Jessica, Lambert, Carmen, Delgado-Álvarez, Elías, Menéndez-Torre, Edelmiro
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2024
Subjects
Hyperglycemic crises
Hyperosmolar hyperglycemic state
Insulin
Ketoacidosis
TTSI
HHS
IIRR
SIDAT
OBDH
Ketoacidosis
Hyperosmolar hyperglycemic state
DKA
WR
Hyperglycemic crises
Insulin
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Summary:A recent consensus report on hyperglycemic crises included recommendations for calculating the subcutaneous insulin dose when transitioning from intravenous insulin. In 95 patients admitted for hyperosmolar hyperglycemic crisis, there were no significant differences in post-transition glycemic control between patients who met the consensus recommendations and those who did not. •Post-transition glycemic control may not be better when recommendations are followed.•Consensus recommendations for transition should be applied with caution.•Additional variables should be considered to perform the transition.
ISSN:1056-8727
DOI:10.1016/j.jdiacomp.2024.108902