Abstract
A review of protocols for the administration of insulin in diabetics during CAPD in the various Toronto hospitals and from two other centers outside Canada show that they are similar but not identical. Toronto Western Hospital, Iowa Lutheran Hospital, Pitie-Salpetriere Hospital and Sunnybrook Medical Center use intraperitoneal insulin exclusively. Toronto General Hospital and the Wellesley Hospital used a combination of intraperitoneal and subcutaneous insulin. Most patients performed four exchanges daily, although some did three only. Nighttime insulin was reduced in most patients. Average insulin requirements were higher when given by intraperitoneal as opposed to subcutaneous injection. There was insufficient data to compare the control achieved with each protocol.
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