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Updated: Aug 15, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Metabolic emergencies related to diabetes mellitus: ketoacidosis and hyperosmolar state]
1Département de Médecine interne, Service des Urgences, CHU de Liège.
Abstract:
Diabetic ketoacidosis and hyperglycaemic hyperosmolar state are relatively frequent metabolic emergencies. Such entities complicate type 1 and type 2 diabetes mellitus, respectively. Diagnosis is ultimately provided by blood and urine analysis. The pathophysiology is mainly based on insulin privation regarding ketoacidosis and resistance to insulin in hyperglycaemic crisis, with an additional deleterious role of counterregulatory hormones. Prognosis of such complications remains generally severe. Management is based on insulin infusion, fluid resuscitation as well as concomitant compensation for electrolytes losses.
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