院内高血糖的处理课件.ppt

* Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * * * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle Various Protocols Exist A number of protocols have been published for the administration of continuous insulin infusion. The use of standardized protocols is associated with improved glycemic control and low rates of hypoglycemia. * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle Intravenous Insulin Infusion Under Basal Conditions Correlates Well With Subsequent Subcutaneous Insulin Requirement * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle The Physiological Insulin Profile The physiological insulin profile of non-diabetic individuals is characterised by peaks of insulin secretion in response to prandial and other stimuli, super-imposed on a low constant basal insulin output. We have therefore become used to seeing diagrams such as this, and seek to build regimens that approximate this mean profile. * Title Subtitle * Title Subtitle Insulin Requirements in Health and Illness Clement S, et al. Management of Diabetes Hyperglycemia in Hospitals. Diabetes Care. 2004 27:553–591. * Title Subtitle * Title Subtitle * Title Subtitle * Title Subtitle The Increasing Rate of Diabetes Among Hospitalized Patients Data regarding the burden of diabetes among hospitalized patients is somewhat difficult to determine because diabetes is reflected