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RE: [IPk] iv correction bolus



I haven't heard anything but it sounds potentially dangerous unless
patients were shown properly. airbubbles etc..

> -----Original Message-----
> From:	John Neale [SMTP:email @ redacted]
> Sent:	15 May 2000 15:43
> To:	email @ redacted
> Subject:	[IPk] iv correction bolus
> 
> I recently met a German friend, who uses a pump, and she told me that
> a few
> diabetes specialists in Germany now train some patients to take a
> correction bolus intravenously - that is, you stick a needle in the
> large
> vein in your arm, and inject a few units directly into the blood.
> 
> The beauty of this is that once it's in the blood, insulin is does its
> work
> and is finished within about 10 minutes. If I were about to eat, and
> found
> my bg was 15, I could lower it to my target of 6 within 10 minutes by
> taking 3.6 units (=(15-6)/2.5) intravenously. And I would know it
> wasn't
> going to carry on falling any further.
> 
> Does anyone else do this? Or know anyone who does it? I've never done
> it
> myself, and I'm rather squeemish about sticking needles into veins.
> 
> Obviously, you should *never* take a complete meal bolus
> intravenously,
> since you would have a massive hypo after 10 minutes - long before the
> food
> you were eating got digested. And you should *never* take long-acting
> insulin intravenously, as the crystals would clog up your tiny blood
> vessels. But a carefully measured couple of units sounds like an
> interesting way of making fast controlled adjustments to your bg.
> 
> John
> 
> --
> mailto:email @ redacted
> http://www.webshowcase.net/johnneale
> 
> 
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