JBDS guideline for the use of VRIII in medical patients – a commentary
DOI:
https://doi.org/10.15277/bjdvd.2014.048Abstract
Variable rate intravenous insulin infusion (VRIII) – previously sliding scale insulin – is an established methodology to achieve normoglycaemia in hospital patients with severe hyperglycaemia. However there are several different sliding scales, even within the same hospital. This new guideline is designed for use by any healthcare professional responsible for the care of acutely unwell patients who present with hyperglycaemia – with or without a previous diagnosis of diabetes. It offers practical guidance on use of VRIII and patient transition to other glucose-lowering therapy on stabilisation.References
Association of British Clinical Diabetologists. Joint British Diabetes Societies for Inpatient Care. The use of variable rate intravenous insulin infusion (VRIII) in medical patients. October 2014. http://www.diabetologists-abcd.org.uk/JBDS/JBDS.htm (Accessed October 2014).
Joint British Diabetes Societies for Inpatient Care Group. The management of diabetic ketoacidosis in adults. March 2010. http://www.diabetologists-abcd.org.uk/JBDS_DKA_Management.pdf (Accessed October 2014).
British Society for Paediatric Endocrinology and Diabetes Recommended DKA Guidelines 2009 (minor review 2013). http://www.bsped.org.uk/clinical/docs/DKAGuideline.pdf (Accessed October 2014).
Access to guidelines for situations in which intravenous insulin may be required. http://www.diabetologists-abcd.org.uk/JBDS/JBDS.htm (Accessed October 2014).
Umpierrez G, Smiley D, Zisman A, Prieto L. Randomized study of basal-bolus insulin therapy in the inpatient management of patients with type 2 diabetes (RABBIT 2 trial). Diabetes Care 2007;30:2181-6. http://dx.doi.org/10.2337/dc07-0295
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