Diabetic Ketoacidosis Diabetic patients Insulin infusion protocol Glycemic control time to switching from of insulin
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 type 1 or type 2 diabetes 2 aged 18 years or older 3 met the diagnostic criteria for DKA according to the 2009 ADA guidelines 4 Admit to ICUs at Maharat Nakhon Ratchasima Hospital
Exclusion criteria
Exclusion criteria: 1 Hyperglycemia due to other causes (e.g., glucocorticoid use, Cushing syndrome) 2 pregnant patients 3 patients wth psychiatric disorders 4 euglycemic DKA 5 patients diagnosed with SARS-CoV infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to switching forms of insulin after DKA resolution hours by calculator | — |
Secondary
| Measure | Time frame |
|---|---|
| number of hypoglycemic events from beginning of DKA to DKA resolution Point of care glucose,number of hypokalemia events from beginning of DKA to DKA resolution electrolyte,number of rebound hyperglycemia after DKA resolution Point of care glucose,nurse satisfaction score of the protocol after DKA resolution questionnaires | — |
Countries
Thailand
Contacts
Ramathibodi hospital