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Tutorial for MBBS: Insulin

Tutorial for MBBS: Insulin

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Categories:Types, School Work
Published by: Dr.U.P.Rathnakar.MD.DIH.PGDHM on Jun 16, 2010
Copyright:Attribution Non-commercial

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09/19/2013

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‡Intensive Insulin therapy-Based on formulae-

CSII

‡Conventional-For type 2

‡Spl circumstances

‡Principle:

‡Supply postprandial needs

‡Provide basal control

Glargine + 3 Analogs

2Long acting+2 Rapid or Short acting

CSII

Diabetic Ketoacidocis

[Diabetic coma]

‡Precipitated by

infection, trauma,

stress in insulin

dependent patients

‡Serious

‡Hypotension, shock,

tachycardia,

dehydration,

hyperventilation,

vomiting, coma

Treatment:

1.Regular insulin-I.V.

2.Bolus followed by

infusion

3.i.vfluids.

4.Kcl???

5. NaHco3

6.Phosphate

7.Antibiotics

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