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Intravenous Insulin

  • Mark W. J. Strachan
  • Brian M. Frier
Chapter

Abstract

Administration of subcutaneous (s.c.) insulin poses potential problems for a patient who is acutely ill and unable to take oral glucose. The insulin will exert a hypoglycemic effect for several hours, but the rate of absorption is unpredictable in people who are shocked and have peripheral vasoconstriction. Intravenous (i.v.) insulin, by contrast, has a short half-life (2.5 min) and has to be given as a continuous infusion. This works immediately and its effects can be stopped by discontinuing the infusion; dose adjustments have an immediate effect. Insulin delivery by the i.v. route has several indications (Table 6.1), but it is often overprescribed—non-fasting patients are frequently and unnecessarily given i.v. insulin to control hyperglycemia in the absence of ketosis or hyperosmolality. In these situations, s.c. insulin or oral antidiabetic medications should be used.

Keywords

Blood Glucose Insulin Dose Insulin Infusion Insulin Delivery Capillary Blood Glucose 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Mark W. J. Strachan
    • 1
  • Brian M. Frier
    • 2
  1. 1.Metabolic UnitWestern General HospitalEdinburghUK
  2. 2.BHF Centre for Cardiovascular Science The Queen’s Medical InstituteUniversity of EdinburghEdinburghUK

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