Reply To: DKA
How lovely to hear from you! Firstly, what the heck you doing watching my DKA webinar on a Sunday night! 🙂
Good question though. I think about the transition as soon as they are re-hydrated and electrolyte/acid-base issues back to normal. It is best to start long-acting insulin when they are eating normally. The transition itself is actually very straight forward. I will stop the CRI or IM infections of neural and you can almost immediately start the long-acting. Best to do this at the time of day the insulin is likely to be given.
Does that make sense?