In this section
Note: This guideline is currently under review.
Definition of Terms
Assessment (signs patient is ready for transition)
Management (timing of transition)
Assessment (signs transition was successful)
Patients in DKA often require ICU admission for IV insulin therapy and
constant monitoring, as blood glucose levels must be lowered slowly to avoid
neurological damage and electrolytes must be closely monitored. When the
patient is clinically ready to
transition from an IV insulin infusion to subcutaneous insulin injections,
several specific steps must be followed.
This includes ensuring the patient is truly ready for the transition,
having the correct orders in place, and recognising when the transition has
Night before anticipated
Morning of anticipated
Special Considerations with
The evidence table for this guideline can be viewed here.
Please remember to read the disclaimer.
The development of this nursing guideline was coordinated by Katie Klatt, RN, PICU, and approved by the Nursing Clinical Effectiveness Committee. Updated May 2018.