What is the Alberti regimen?
The Alberti regimen has been superceded in many centres by the use of separ- ate infusions of insulin (usually 1 U mlJ1) and glucose with or without potassium. 2 Although the separate infu- sions offer greater flexibility, they lack the inherent safety of the combined regimen.
When is Albertis regimen used?
The recommendations for type 1 diabetic patients were to use the Alberti regimen in all patients undergoing surgery and to continue the infusion until the patient was eating (ambulatory surgery was in its infancy in 1979). Practical aspects of the use of the combined regimen were discussed in detail.
Which fluid is given in diabetes?
For decades, 0.9% saline has been the fluid of choice for diabetic ketoacidosis, and its use continues to be advocated in modern textbooks on diabetes.
What is a GKI infusion?
Glucose potassium insulin (GKI) infusion – This is an alternative regime where 500ml of 10 per cent dextrose, 10mmol potassium chloride and 10 units of insulin are all given in the same infusion at a rate of 100ml/hour. CBG levels should be measured hourly to ensure the glucose remains within the target of 7-11mmol/l.
Which insulin is used for diabetic ketoacidosis?
Insulin lispro (Humalog)
Why blood sugar is high in the morning?
The dawn phenomenon In the early hours of the morning, hormones, including cortisol and growth hormone, signal the liver to boost the production of glucose, which provides energy that helps you wake up. This triggers beta cells in the pancreas to release insulin in order to keep blood glucose levels in check.
What is the best IV fluid for diabetics?
In those cases where a diabetic is hospitalized due to severe hypoglycemia, concentrated IV dextrose 50% is recommended.
When should I start GKI infusion?
If blood glucose rises to greater than 12 mmol/l, put up a new GKI with 4 units MORE INSULIN in the bag and recheck capillary blood glucose within 1 hour . If blood glucose falls to below 6 mmol/l, put up a new GKI bag with 4 units LESS INSULIN and recheck capillary blood glucose within 1 hour.
When do you use GKI?
Use a GKI for tablet-controlled diabetes with blood glucose outside 4-12mmol range, or if they are likely to be fasted postoperatively.
Why is calcium chloride given in DKA?
Calcium chloride Calcium prevents the deleterious cardiac effects of severe hyperkalemia that may occur before the serum potassium level is corrected. Because of its irritating effects when administered parenterally, calcium chloride is generally considered a second choice, after calcium gluconate.
Is the Alberti regimen suitable for management of diabetes during surgery?
Management of diabetes during surgery: 30 yr of the Alberti regimen. The Alberti regimen has been superceded in many centres by the use of separate infusions of insulin (usually 1 U ml −1) and glucose with or without potassium. 2 Although the separate infusions offer greater flexibility, they lack the inherent safety of the combined regimen.
What is the difference between the Alberti and the combined regimen?
The Alberti regimen has been superceded in many centres by the use of separate infusions of insulin (usually 1 U ml −1) and glucose with or without potassium. 2 Although the separate infusions offer greater flexibility, they lack the inherent safety of the combined regimen.
What is the Alberti method of blood transfusion?
It involves infusing a solution of glucose (G), insulin (I), and potassium (K) chloride intravenously over a standard time period. Blood sugar and potassium are measured frequently so that appropriate adjustments can be made to the mixture as necessary. K. G. M. M. Alberti (1937), British physician