What are the insulin therapy requirements in critically ill patients with type 1 diabetes mellitus (DM)?

Updated: Jul 28, 2020
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
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Answer

Recent guidelines have trended away from stressing intensive glucose control in ill patients with diabetes. The ADA recommends that in critically ill patients, insulin therapy should be initiated if the glucose level exceeds 180 mg/dL (10 mmol/L), with a target range of 140-180 mg/dL (7.8-10 mmol/L) for the majority of critically ill patients. [5] More stringent goals, such as 110-140 mg/dL (6.1-7.8 mmol/L), may be appropriate for selected patients, provided that significant hypoglycemia can be avoided.


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