Evaluation of Hypoglycemia Incidence and Risk Factors in Patients Treated with IV Insulin Aspart for Hyperkalemia

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Intravenous (IV) insulin aspart is an effective treatment option for hyperkalemia in the hospital setting. IV dextrose is commonly administered prior to IV insulin aspart to prevent hypoglycemia; however, hypoglycemia has been identified in patients receiving this therapy. This study aimed to determine the incidence of hypoglycemia in patients receiving IV insulin aspart for hyperkalemia.
Methods: This was a single-center, retrospective cohort study evaluating the incidence of hypoglycemia in 86 patients who received IV insulin aspart for hyperkalemia. Secondarily, this study aimed to determine the percentage of patients who received dextrose prior to IV insulin aspart, percentage of patients who became hypoglycemic when not receiving IV dextrose prior to insulin treatment, the median time to first hypoglycemic event, and patient characteristics associated with hypoglycemia in this sample population..to read more http://www.scitechnol.com/abstract.php?abstract_id=3330

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