Diabetic Ketoacidosis
Conditions
Keywords
DKA
Brief summary
The purpose of this study is to determine whether insulin administered by a subcutaneous injection is effective in the treatment of a diabetic crisis and to determine if beta-hydroxybutyrate is useful to monitor during treatment of a diabetic crisis.
Interventions
Aspart Insulin 0.2units/sq q 2 hours Regular Insulin 0.1units/kg/hr intravenous Aspart Insulin 0.1 units/kg/hr intravenous
Sponsors
Study design
Eligibility
Inclusion criteria
age 18 or older * venous pH \< 7.3 or arterial \< 7.35 * at least 2 of the following 3: 1. serum HCO3 \< 18/anion gap \> 16 2. serum glucose \> 300 mg/dl 3. serum acetone positive
Exclusion criteria
* pregnant * less than age 18
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hours to resolution of ketoacidosis as defined as beta-hydroxybutyrate <0.6 | q 2 hours |
| Hours to achieve blood glucose less than 200mg/dl | q 1 hour |
Countries
United States