Flexible Catheter for Insulin in Diabetes

Use of a Flexible Catheter for the Administration of Subcutaneous Insulin in Diabetic Ketoacidosis

Use of a flexible subcutaneous catheter improves comfort in patients with DKA compared to the usual treatment with a metal needle.

Assess whether the use of a flexible subcutaneous catheter improves comfort in patients with DKA compared to the usual treatment with a metal needle.

Compare the metabolic evolution of patients with DKA using a flexible subcutaneous catheter for insulin administration vs. a metal needle.

Inclusion Criteria:

• Patients aged 5 to 18 years, admitted with diagnoses of DKA. DKA is defined when patients meets all the following biochemical baseline criteria (before initial hydration):
• Glucose> 200 mg / dl
• pH < 7.3
• Bicarbonate < 15mmol/l.

Exclusion Criteria:

• Patients referred from another institution with a different treatment, and those who requires intensive care on admission.