Tag Archives: insulin

Should I give bicarbonate in DKA?

Should I give bicarbonate to DKA patients with severe acidemia? I’ve certainly been admonished for NOT doing it. The reason for withholding bicarb has been that I’ve heard that it doesn’t help and may actually be a bad idea. I can’t say the action (or inaction) was based on a deep understanding.   http://traffic.libsyn.com/ercast/Bicarb_DKA_ERCast.mp3 Direct …

Hyperglycemia

Should we treat asymptomatic hyperglycemia in the emergency department?  Endocrinologist Dr. Liz Stephens sets the record straight when it comes to about asymptomatic hyperglycemia. How many times have you been in this situation… you’re caring for a diabetic patient with abdominal pain and their blood sugar comes back at 350 mg/dL or maybe they were asymptomatic …