Background: COVID-19 has placed an unprecedented strain on healthcare systems worldwide, increasing demand for critical care beds1. To address shortage of critical care beds, innovative methods to increase capacity are needed. At our large, urban academic safety-net hospital, patients with diabetic ketoacidosis (DKA) are admitted to critical care units for intravenous (IV) insulin administration and [...]

Background: Diabetic Ketoacidosis (DK)A at our center has historically been managed in the intensive care unit (ICU) utilizing low-dose insulin infusion. According to the American Diabetes Association (ADA) and a 2016 Cochrane review, cases of mild to moderate DKA can be safely managed on general medical floors utilizing subcutaneous short-acting insulin. Prior studies have demonstrated [...]

Case Presentation: A 43 year-old man presented with one day of diffuse joint pains and fevers. He had new onset severe joint pains and stiffness of the neck, shoulders, elbows, wrists, fingers, hips, knees, and ankles. He used a continuous subcutaneous insulin infusion device to manage type 1 diabetes. He recently had a small bowel [...]