Division of Metabolism, Endocrinology and Nutrition, University of Washington, 1959 NE Pacific Street, Box 356426, Seattle, WA 98195, USA.
Endocrinol Metab Clin North Am. 2010 Sep;39(3):595-608. doi: 10.1016/j.ecl.2010.05.014.
Type 1 diabetes poses unique inpatient challenges because of the risks of diabetic ketoacidosis, uncontrolled hyperglycemia, and hypoglycemia. Although newer insulin analogs and insulin pumps provide means for improved glycemic control, they can be daunting for nonexperts. This article focuses on inpatient and perioperative insulin management of stable, nonketotic, nonpregnant adults and children with type 1 diabetes. These principles can also be applied to patients with steroid-induced hyperglycemia.
1 型糖尿病患者在住院期间面临独特的挑战，因为他们存在糖尿病酮症酸中毒、血糖控制不佳和低血糖的风险。虽然新型胰岛素类似物和胰岛素泵为改善血糖控制提供了手段，但对于非专业人员来说，它们可能令人望而生畏。本文重点介绍稳定、非酮症、非妊娠的 1 型糖尿病成年患者和儿童患者的住院和围手术期胰岛素管理。这些原则也适用于因类固醇引起的高血糖患者。
