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Decreased insulin requirements with spinal cord stimulation in a patient with diabetes

Leonardo Kapural1, Salim M Hayek, Michael Stanton-Hicks

  • 1Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. Kapural@ccf.org

Anesthesia and Analgesia
|February 26, 2004
PubMed
Abstract

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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...