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Hyperkalaemia, ketoacidosis and subcutaneous or intravenous insulin infusions.

Authors
  • MacRury, S M1
  • Small, M
  • MacCuish, A C
  • 1 Diabetic Unit, Glasgow Royal Infirmary, UK.
Type
Published Article
Journal
Diabetes research (Edinburgh, Scotland)
Publication Date
Jul 01, 1987
Volume
5
Issue
3
Pages
153–155
Identifiers
PMID: 3117474
Source
Medline
License
Unknown

Abstract

We report a case of a previously stable Type 1 insulin-dependent diabetic who developed diabetic ketoacidosis with marked hyperkalaemia after starting continuous subcutaneous insulin infusion for neuropathy. On two occasions during his hospital admissions he had a rapid onset of hyperkalaemia after short interruptions to this intravenous insulin infusion. Hyperkalaemia can occur rapidly in patients who are treated with short acting insulin only.

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