Type 1 diabetes

Effectiveness and safety of early insulin glargine administration in combination with continuous intravenous insulin infusion in the management of diabetic ketoacidosis: A randomized controlled trial

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

Early combination of insulin glargine with IV insulin infusion led to a faster DKA resolution and a shorter LOS, without increasing hypoglycaemia and hypokalaemia.

Study context

Population
Adults aged 18 years or older diagnosed with diabetic ketoacidosis (DKA); 76.7% had T2D30 per group
Participants
60 adults
Comparison
Early SC insulin glargine plus intravenous (IV) insulin infusion vs IV insulin infusion alone
  • Early glarginen = 30
  • Controln = 30reference
Primary endpoint
Time to DKA resolution
Methodological detailssingle-centre, open-label
  • Single-centre
  • Open-label

Primary result

As reported in the abstract

P = 0.022

Further findings

LOS · significantly shorter with early glargine

P = 0.024

Rebound hyperglycaemia and all-cause mortality

Incidence of rebound hyperglycaemia and all-cause mortality similar between groups

Safety

Incidence of hypoglycaemia and hypokalaemia similar between groups

Original publication

Effectiveness and safety of early insulin glargine administration in combination with continuous intravenous insulin infusion in the management of diabetic ketoacidosis: A randomized controlled trial. Diabetes Obes Metab. Published 20 December 2022. doi:10.1111/dom.14929

Composed by AI from the published abstract and checked against it. How Briefs are made →

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