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from Part 8 - Diabetes
Published online by Cambridge University Press: 08 June 2020
Control of glucose levels in diabetics is difficult during illness and perioperatively; they are affected by counter-regulatory hormones, unpredictable eating, lack of exercise and many other factors. Tight control is important: it improves outcomes in critically ill patients and reduces infection rates. A variety of different methods have emerged to administer IV insulin, inculding fixed and variable rate insulin infusions. This chapter provides a tutorial on variable rate insulin infusions, including a worked example, what monitoring is required and possible pitfalls.
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