The Curbsiders Internal Medicine Podcast #331 Inpatient Diabetes Part 2: DKA, insulin drips, insulin pumps, and CGMs
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Apr 27, 2022 AI Snips
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Start DKA Treatment With Fluids
- Always start diabetic ketoacidosis (DKA) treatment with fluids and insulin.
- Use lactated ringers over normal saline to avoid hyperchloremic acidosis.
Safe Transition Off Insulin Drip
- Transition off insulin drip only when acidosis resolves and patient is eating.
- Overlap basal insulin injection at least two hours before stopping drip.
Understanding Euglycemic DKA
- Euglycemic DKA occurs with relatively normal glucose but acidosis.
- It can result from reduced glucose availability or SGLT2 inhibitor use.