Health Condition 1: E081- Diabetes mellitus due to underlying condition with ketoacidosis
Conditions
Interventions
Intervention1: Intravenous Insulin plus subcutaneous Glargine: S/c Glargine will be given is dose of 0.3U/kg to patients with diabetic ketoacidosis within 4hours of diagnosis in addition to standard I
Sponsors
Department of Emergency Medicine
Eligibility
Inclusion criteria
Inclusion criteria: Patients with Age = 18years diagnosed with DKA
Exclusion criteria
Exclusion criteria: 1. Patient in Shock requiring inotropes 2. Patients who received treatment for DKA prior to the arrival to emergency 3. Patient diagnosed with advanced liver disease 4. Patient diagnosed with advanced kidney disease 5. Pregnant patient 6. Patient who are known allergic to glargine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the time duration in resolution of diabetes ketoacidosis between patient receiving early glargine with standard insulin versus patients receiving standard insulin therapy aloneTimepoint: To be assesed every 4hour along with blood gas reports till the resolution of diabetic ketoacidosis | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare occurrence of complications like hypoglycemia hypokalemia rebound hyperglycemia between patient receiving early glargine with standard insulin versus patients receiving standard insulin therapy alone.Timepoint: Till 24 hrs after resolution of Diabetic ketoacidosis;To compare the duration of hospital stay between patient receiving early glargine with standard insulin versus patients receiving standard insulin therapy alone.Timepoint: Till patient is deemed eligible for discharge in accordance with treating physician.;To compare total insulin requirement in term of dose between patient receiving early glargine with standard insulin versus patients receiving standard insulin therapy alone.Timepoint: Till the resolution of diabetic ketoacidosis | — |
Countries
India
Contacts
Public ContactDr Nayer Jamshed
AIIMS NEW DELHI
Outcome results
None listed