Management

1. Treatment should be given if blood glucose elevations persist (>7-8 mmol/l).

2. A short-acting insulin infusion (e.g. actrapid) should be used and titrated to maintain normoglycaemia (4-7

mmol/l). Usually 1-4Units/h are required though may need to be much higher in diabetics who become critically ill. Regular bedside monitoring of blood sugar should be performed; this should be undertaken hourly if unstable.

3. Oral hypoglycaemic agents should be generally avoided in the ICU patient because of their prolonged duration of action and unpredictable absorption.

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Supplements For Diabetics

Supplements For Diabetics

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