The Importance of Metabolic Derangement in the ED

There is an abstract by Cortez the group from Texas looking at comparing sub cue versus IV they show a numerically faster time to DKA resolution but I'll be interested to see the men who's good coming out in the future. The case is definitely a metabolic derangement more so than a glucose problem. So, in order to transition to what we call home regimen or like a basal bolus, subcutaneous insulin regimen, they really needs to have all the blood. They cannot have any ketone in the serum or urine beta hydrophybutarate trending down to almost undetectable. NIN get needs to be normal, they need to be awake to be able to eat