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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1976-11-1
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pubmed:abstractText |
Twelve diabetic children--eight in ketoacidosis, three with insulin refractory hyperglycemia, and one postoperative patient--were treated with continuous, low-dose, intravenous infusion of insulin. The eight ketoacidotic children with a mean serum glucose concentration on admission of 631 mg/dl and bicarbonate value of 6.8 mM/1 were given regular insulin, 0.1 U/kg, slowly by bolus injection followed by a sustaining infusion of 0.1 U/kg/hour. Plasma glucose concentration fell at a mean rate of 82 mg/dl/hour. Euglycemia with concomitant improvement in the metabolic disorder was achieved with a mean dose of insulin, 0.68 U/kg, given over four to 10 hours. Mean plasma insulin in those children who had not previously received insulin was 55 muU/ml, well within the normal physiologic range. Growth hormone and serum triglyceride levels, low initially, rose with insulin therapy before returning to control values. Continuous low-dose insulin infusion is simple, safe, and effective, avoids confusion and empiricism, and appears to be the method of choice for the treatment of diabetic ketoacidosis or insulin resistance.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0022-3476
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
89
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
560-4
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:822144-Adolescent,
pubmed-meshheading:822144-Child,
pubmed-meshheading:822144-Child, Preschool,
pubmed-meshheading:822144-Diabetic Ketoacidosis,
pubmed-meshheading:822144-Female,
pubmed-meshheading:822144-Humans,
pubmed-meshheading:822144-Hyperglycemia,
pubmed-meshheading:822144-Infusions, Parenteral,
pubmed-meshheading:822144-Insulin,
pubmed-meshheading:822144-Male
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pubmed:year |
1976
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pubmed:articleTitle |
Continuous low-dose infusion of insulin in the treatment of diabetic ketoacidosis in children.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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