Can diabetic patient be given saline?

For decades, 0.9% saline has been the fluid of choice for diabetic ketoacidosis, and its use continues to be advocated in modern textbooks on diabetes. Early studies on diabetic ketoacidosis in the 1970s used 0.9% saline,5 and this approach was reinforced a decade later.

Is saline harmful for diabetic patients?

In fact, according to 2012 National Health Services (NHS) diabetes guideline for the perioperative management of the adult patient with diabetes, Hartmann’s solution is used in preference to 0.9% saline. Excess use of normal saline could yield complications such as hyperglycemia and metabolic acidosis.

Can Saline increase blood sugar?

Patients receiving lactated Ringer’s and normal saline remained normoglycemic throughout the study period. Patients receiving dextrose normal saline had significantly elevated plasma glucose 15 min after completion of infusion (11.1 [9.9–12.2, 95% confidence interval] mmol/L).

Which IV fluid is best for diabetic patients?

At present, the best option for diabetic patients receiving an insulin infusion in the peri-operative period is 5% glucose in 0.45% sodium chloride solution with potassium 20 mmol.

Why is saline used in diabetes?

Importance Saline (0.9% sodium chloride), the fluid most commonly used to treat diabetic ketoacidosis (DKA), can cause hyperchloremic metabolic acidosis. Balanced crystalloids, an alternative class of fluids for volume expansion, do not cause acidosis and, therefore, may lead to faster resolution of DKA than saline.

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Can normal saline reduce blood sugar?

The initial goal of rehydration therapy is repletion of extracellular fluid volume by intravenous administration of isotonic saline to restore intravascular volume; this will decrease counterregulatory hormones and lower blood glucose, which should augment insulin sensitivity.

Does Saline increase blood pressure?

Blood pressure was increased only during the isotonic saline infusion but not during hypertonic saline administration. It is concluded that stimulation of adrenal CA secretion by saline loading is mediated through a renal factor.

Does saline IV have sugar?

Intravenous sugar solutions are in the crystalloid family of medications. They come in a number of strengths including 5%, 10%, and 50% dextrose. While they may start out hypertonic they become hypotonic solutions as the sugar is metabolised. Versions are also available mixed with saline.

Intravenous sugar solution.

Clinical data