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Comparison of two types of dose (standard dose versus low dose) intravenous insulin infusion in treatment of children with diabetic ketoacidosis

Not Applicable
Completed
Conditions
Health Condition 1: null- Children aged â?¤ 12 years with DKA admitted to Pediatric emergency
Registration Number
CTRI/2014/08/004823
Lead Sponsor
Pediatric Critical Care Units
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

Children aged <= 12 years with DKA admitted to Pediatric emergency. (DKA defined as 1. Hyperglycemia (blood glucose > 200 mg/dL 2. venous pH <7.3 and/or bicarbonate <15 mmol/L

3. Associated glycosuria, ketonuria, and ketonemia)

Exclusion Criteria

1. Children with DKA who already received insulin infusion outside irrespective of duration and dose.

2. Children with a septic shock (requiring >= 60 ml/kg fluid boluses and vasoactive therapy to maintain vitals parameters during initial resuscitation).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the time taken for resolution of DKA in children with DKA receiving low dose insulin infusion (0.05units/kg/hr) as compared to those receiving standard dose (0.1units/kg/hr).Timepoint: Till resolution of DKA
Secondary Outcome Measures
NameTimeMethod
1.Rate of fall in RBS till â?¤ 250mg/dl. <br/ ><br>2.Incidence of hypoglycemia and hypokalemia. <br/ ><br>3.Incidence of cerebral edema and / or worsening of cerebral edema.Timepoint: During PICU stay
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