Transitioning

When clinically appropriate, usually at 6 to 12 hours, the patient should be offered oral fluids to determine GI function. When the diet is advanced to solid food, the patient should be started on subcutaneous (SC) insulin, basal and reactive therapy, while still maintaining the insulin infusion. A common error at this phase is discontinuation of the insulin infusion before SC insulin achieves an adequate steady state to prevent recurrent ketosis. This takes 4 to 6 hours if the correct basal insulin dosage is given. Rebound hypergly-cemia and ketosis are more likely with uncontrolled underlying infection.

Once oral fluid intake is adequate, the patient should be appropriately educated about self-management of insulin before being discharged. Even if previously trained to do this, the patient should receive a refresher on this important skill. Appropriate professional guidance can prevent progression of ketosis if obtained before the symptomatology becomes too profound. If patients are educated to avail themselves of this help in a timely manner, they will never again have to endure this potentially life-threatening emergency.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

Get My Free Ebook


Post a comment