PEDIATRICS Vol. 60 No. 5 November 1977, pp. 681-688
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Low-Dose Intravenous Insulin Infusion in Patients With Diabetic Ketoacidosis: Biochemical Effects in Children

Elmer S. Lightner M.D.1, Michael S. Kappy M.D., Ph.D.1, and Betty Revsin Ph.D.1

1 Departments of Pediatrics and Family and Community Medicine, University of Arizona Health Sciences Center, Tucson

Twenty-five episodes of diabetic ketoacidosis in 20 children were treated with continuous low-dose intravenous insulin infusion. Stable serum immunoreactive insulin concentrations were produced, along with prompt falls in glucose, beta-hydroxybutyrate, and glucagon levels, and a steadily increasing bicarbonate level. Neither hypokalemia nor hypophosphatemia developed. Elevated serum alanine concentrations were found during ketoacidosis in contrast to the lowered concentrations found in adults, and were correlated inversely with plasma glucagon concentrations. The treatment regimen described is safe, easy to use, efficacious, and resulted in prompt correction of the observed biochemical alterations in children with diabetic ketoacidosis.

Submitted on April 14, 1977
Accepted on June 17, 1977




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R. M. Perkin and J. F. Marks
Low-Dose Continuous Intravenous Insulin Infusion in Childhood Diabetic Ketoacidosis
Clinical Pediatrics, September 1, 1979; 18(9): 540 - 548.
[Abstract] [PDF]