Insulin in the management of the diabetic surgical patient: continuous intravenous infusion vs subcutaneous administration
- 14 February 1977
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 237 (7) , 658-660
- https://doi.org/10.1001/jama.237.7.658
Abstract
A prospective randomized study comparing constant i.v. infusion of regular, low-dose insulin vs. conventional s.c. administration of neutral protein Hagedorn (NPH) insulin in insulin-requiring patients undergoing orthopedic procedures under general anesthesia was undertaken. The degree of diabetic control was better in those receiving constant 2 units/h of regular insulin than in those receiving 2/3 of daily maintenance doses of NPH insulin. In 2 of 8 patients receiving 2 units/h, decreased insulin infusion rates and increased dextrose infusion rates were required to avoid hypoglycemia. Preoperative NPH insulin and 1 unit/h insulin administration resulted in equivalent diabetic control.This publication has 0 references indexed in Scilit: