How long after a DKA episode do you anticipate patients with ketosis prone diabetes mellitus to be able to discontinue insulin therapy?
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How long after a DKA episode do you anticipate patients with ketosis prone diabetes mellitus to be able to discontinue insulin therapy?
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2 Answers
Mednet MemberInvited Expert
Endocrinology · Emory University School of Medicine
Answered on
If the patient is antibody negative with beta cell function, they can usually discontinue insulin 1 to 2 months after the initial diabetic ketoacidosis (DKA) event (I typically order the antibodies and C-peptide at their first follow-up visit and then will start to pull off insulin once I have the r...
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Mednet MemberInvited Expert
Endocrinology · Kaiser Permanente Oakland Medical Center Endocrinology
Answered on
After 2 weeks, a meal-stimulated C-peptide can be checked and, if normal, the patient may be able to taper off insulin as long as requiring less than 10 to 20 units per day.
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