06.04 Endo/Metabolic

06.04 Diabetes mellitus [PDF link]: T1DM, T2DM, Drugs used in DM & Insulin, DVLA rules for diabetes (driving), Complications of DM & sick day rules

Internal links

• 07.02 for diabetic nephropathy

• 16.04 for gestational DM

• 06.05 for DKA, HHS, etc

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Extra notes

Variable rate intravenous insulin infusion (VRIII)

Scales for insulin infusion rate

Glucose (mmol/L)	Standard rate
4.1-8.0	1
8.1-12.0	2
12.1-16.0	4
16.1-20.0	5
20.1-24.0	6
>24.1	8

Fluids for VRIII

• Recommended: 0.45% NaCl with 5% glucose and 0.15% KCl (20 mmol/L), or 0.45% NaCl with 5% glucose with 0.3% KCl (40 mmol/L)

• Alternatives: 5% glucose with 20 mmol/L or 40 mmol/L KCl, or 0.18% NaCl with 4% glucose with 0.15% KCl (20 mmol/L), or 0.18% NaCl with 4% glucose with 0.3% KCl (40 mmol/L).