Hyperglycaemia

Question 1

What are common causes of hyperglycaemia?

Answer 1

• DKA
• HHS
• Spesis
• Steroids
• Missed insulin/hypoglycaemics
• Pacnreatitis
• Dehydration
• Last meal/feeds

Question 2

How would you manage hyperglycaemia without DKA?

Answer 2

• Rehydrate if necessary
• STAT dose rapid/short-acting insulin
• Identify and treat cause
• Adjust normal insulin regimen
• Recheck glucose in 1 hour

Question 3

How much can 1 unit of rapid/short acting insulin reduce BG by in T1DM?

Answer 3

3mmol/L - aim glucose < 12 mmol/L

Question 4

How would you calculate how many units of insulin to give someone with hyperglycaemia without DKA if they had T2DM?

Answer 4

0.1 units/kg (aim glucose <14 mmol/L)