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Updated: Jun 10, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Inpatient management of adults and children with type 1 diabetes
David M Tridgell1, Angela H Tridgell, Irl B Hirsch
1Division of Metabolism, Endocrinology and Nutrition, University of Washington, 1959 NE Pacific Street, Box 356426, Seattle, WA 98195, USA. tridge@uw.edu
Abstract:
Type 1 diabetes poses unique inpatient challenges because of the risks of diabetic ketoacidosis, uncontrolled hyperglycemia, and hypoglycemia. Although newer insulin analogs and insulin pumps provide means for improved glycemic control, they can be daunting for nonexperts. This article focuses on inpatient and perioperative insulin management of stable, nonketotic, nonpregnant adults and children with type 1 diabetes. These principles can also be applied to patients with steroid-induced hyperglycemia.
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