Insulin should be given by continuous infusion. The initial dose is 0-1 units/kg/hour. Once the blood sugar falls to less than 10 mmol/l, glucose must be added to the IV. Do not stop using insulin. This is the child's prime requirement. Administer the insulin by separate line. Add 25 units of soluble insulin to 50 ml saline. This solution is 0.5 unit/ml: 0-1 units/kg/hour is equal to 0-05 x weight in kg, as ml/hour. Thus a 20-kg child would have 2 ml/hour, a 35 kg child 3-5 ml/hour. This often needs decreasing when blood sugar starts to fall. In a very young diabetic (under 5 years), start with the smaller dose.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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