When to Convert to SC Insulin
- Continue IV therapy until:
- pH normal or blood ketones <1.0mmol/L
- Urinary ketones may still be positive60-61
- Clinically well
- Eating & drinking
- First give SC insulin (usual regimen of basal and bolus)
- At least 30 minutes before stopping the infusion
- 60 minutes if on an insulin pumps
- Then stop insulin infusion
- The aim is to avoid rebound hyperglycaemia
On-going home management & follow-up should be discussed with the young persons Consultant or Diabetic Specialist Nurse.