What's Going to Happen in the Future?

In terms of how to actually give the insulin, we talked on the last podcast about generally speaking, not giving an insulin bolus and starting an insulin infusion at.1 units per kilogram per hour. You could give a little bit less, like.05 units per kilo per hour if you chose to do it intravenously. So the bottom line really with HHS is that the emphasis should be more on the fluids than on the insulin,. DKA really have to be carefully titrating the insulin because they're completely insulin depleted.