Please select the option that best describes you:
Topics:
Gastroenterology • Pulmonology • Critical Care • Endocrinology • Lipid Disorders • Pancreatic Disorders • Hospital Medicine • General Hospital Medicine
When can we consider deferring an insulin drip in patients with hypertriglyceridemia-induced pancreatitis?
If the patient does not have underlying diabetes, do the benefits of an insulin drip for this indication outweigh the risks?
Answer from: at Academic Institution
Serum triglyceride levels >500 mg/dL (5.6 mmol/L) are required for hypertriglyceridemia to be considered the underlying etiology of acute pancreatitis (UpToDate).For patients with severe hypertriglyceridemic pancreatitis, such as those serum triglyceride levels >1000 mg/dL plus lipase >3 ti...
Sign in or Register to read more
Answer from: at Community Practice
There is no evidence in humans that insulin infusion is more effective than waiting. I restrict carbs, control hyperglycemia, and wait. Insulin infusion is a morbid intervention with no data that it is any better than supportive care.