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Early Resolution of Acidosis with Subcutaneous insulin in addition to IV insulin in DKA

Phase 4
Completed
Conditions
Health Condition 1: E101- Type 1 diabetes mellitus with ketoacidosis
Registration Number
CTRI/2022/08/044760
Lead Sponsor
Jawaharlal Institute of Postgraduate Medical Education and Research
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
50
Inclusion Criteria

All adults > 18 years of age with DKA.

DKA is defined as a patients having all of the following

RBS >250mg/dl

pH <7.3

Urine ketones ++(dipstick)

Bicarbonates <18 Anion gap > 10

Exclusion Criteria

1.Chronic Liver Disease

2.Chronic Kidney Disease

3.Patient on Assisted mechanical ventilation

4.Hypotensive patients on inotropic support

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Resolution of DKATimepoint: RBS every 2-3 hours <br/ ><br>VBG every 4-6 hours <br/ ><br>Till resolution of DKA <br/ ><br> <br/ ><br>Patient is assessed every 4-6 hourly till DKA resolves
Secondary Outcome Measures
NameTimeMethod
To assess the duration of hospital stay in study participants.Timepoint: At the time of discharge;To determine the frequency of hypoglycemia in study participants.Timepoint: Till the Resolution of DKA;To evaluate the time to rebound hyperglycemia within 24 hours of stopping IV Insulin Infusion.Timepoint: Within 1 day of stopping insulin infusion
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