[Continuous perfusion of low doses of insulin in severe diabetic decompensation (author's transl)]. / Perfusión contunua de bajas dosis de insulina en la descompensación diabética grave.

Twenty one episodes of severe uncontrolled diabetes, most of them with ketoacidosis, were treated at a Medical Intensive Care Unit with fluid and electrolyte replacement and continuous perfusion of low doses of insulin. The overall results of this therapeutic approach were a progressive and gradual return to normality of all biochemical parameters with a fall of serum glucose levels and no hypoglycemic or hypokalemic accidents. Based on this study and on a review of the literature, an updated protocol for therapy of diabetic ketoacidosis is proposed.