When to Convert to SC Insulin

Fig 15: Continue intravenous therapy until the child is well and eating and drinking without ketoacidosis
  • 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 person’s Consultant or Diabetic Specialist Nurse.