Pulmonology

Diabetes

Questions discussed in this category

What are your thoughts on trending beta-hydroxybutyrate once a diagnosis of DKA is already established?

Do you find it helpful to monitor for treatment response, resolution, and/or recurrence?

1 Answer available

Should long-acting subcutaneous insulin be started upfront in addition to regular insulin infusion for patients with diabetic ketoacidosis?

4 Answers available

Do you recommend early oral nutrition when managing diabetic ketoacidosis?

Some data showed early enteral nutrition improves outcomes in DKA. Some thought that enteral nutrition could counteract the insulin gtt.

1 Answer available

Is Metformin contraindicated in patients using long term oxygen therapy at home?

Liang et al., PMID 35900801

1 Answer available

How do you adjust your management strategy to address the unique needs of anuric end-stage kidney disease patients when treating diabetic ketoacidosis?

1 Answer available

Papers discussed in this category

Diabetes care, 2024 Aug 01

Hyperglycemic Crises in Adults With Diabetes: A Consensus Report.

The Journal of clinical endocrinology and metabolism, 2012-09

Subcutaneous administration of glargine to diabetic patients receiving insulin infusion prevents rebound hyperglycemia.

Journal of the Endocrine Society, 2019-05-01

A Retrospective Study of Early vs Delayed Home Dose Basal Insulin in the Acute Management of Diabetic Ketoacidosis.

Current diabetes reviews, 2021

Evaluation of Early Administration of Insulin Glargine in the Acute Management of Diabetic Ketoacidosis.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2015 May 25

Prospective randomized trial of insulin glargine in acute management of diabetic ketoacidosis in the emergency department: a pilot study.

Journal of clinical and diagnostic research : JCDR, 2015 May 01

Effectiveness of Insulin Glargine on Recovery of Patients with Diabetic Ketoacidosis: A Randomized Controlled Trial.

Diabetes, obesity & metabolism, 2022 Dec 20

Effectiveness and safety of early insulin glargine administration in combination with continuous intravenous insulin infusion in the management of diabetic ketoacidosis: A randomized controlled trial.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2023 Feb 27

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics.

Diabetes care, 2022 Feb 01

Controversies Around the Measurement of Blood Ketones to Diagnose and Manage Diabetic Ketoacidosis.

Diabetologia, 2024 Jun 22

Hyperglycaemic crises in adults with diabetes: a consensus report.

Journal of hospital medicine, 2025 Jul 21

Putting SQuID on the menu: A subcutaneous insulin protocol for diabetic ketoacidosis.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2024 Sep 23

SQuID (subcutaneous insulin in diabetic ketoacidosis) II: Clinical and operational effectiveness.

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