Insulin shock therapy or insulin coma therapy ICT was a form of psychiatric treatment in which patients were repeatedly injected with large doses of insulin in order to produce daily comas over several weeks. It was one of a number of physical treatments introduced into psychiatry in the first four decades of the 20th century. Insulin coma therapy and the convulsive therapies are collectively known as the shock therapies. In , Sakel, who had recently qualified as a doctor in Vienna and was working in a psychiatric clinic in Berlin , began to use low sub-coma doses of insulin to treat drug addicts and psychopaths, and after one of the patients experienced improved mental clarity after having slipped into an accidental coma, Sakel reasoned the treatment might work for mentally ill patients. Joseph Wortis , after seeing Sakel practice it in , introduced it to the US.
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Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. Toggle navigation. Hypoglycemic Disorders Chapter. From Related Chapters.
Page Contents Protocol: Approach Recognize signs of Hypoglycemia e. Precautions Acute Hypoglycemia associated with long acting Oral Hypoglycemic agents e. Management: Emergency Department Disposition Glucose correction D50W administration D50W results in rebound Hypoglycemia consider ml D10W instead, see above After correction, observe for several hours with Glucose checked every hours Meal after correction Patient must have some longer acting foods to prevent recurrent Hypoglycemia Give complex carbohydrates, protein and fat Consider Nasogastric Tube placement to deliver enteral carbohydrates if unable to take orally Oral Hypoglycemic agents Metformin Glucophage Unlikely to cause Hypoglycemia Sulfonylurea s Prolonged Insulin release stimulation - observe for 24 hours Consider Octreotide mcg IV Short-Acting Insulin e.
Images: Related links to external sites from Bing. Related Studies. Trip Database TrendMD. Ontology: Hypoglycemia management C Definition NIC Preventing and treating low blood glucose levels Concepts Therapeutic or Preventive Procedure T SnomedCT English Hypoglycemia Management , hypoglycaemia management , hypoglycemia management , Hypoglycaemia management , Hypoglycemia management procedure , Hypoglycemia management Spanish manejo de la hipoglucemia procedimiento , manejo de la hipoglucemia.
Ontology: Insulin overdose C Concepts Injury or Poisoning T SnomedCT English insulin overdose , Insulin overdose , Insulin overdose disorder Spanish sobredosis de insulina trastorno , sobredosis de insulina.
Ontology: Insulin Shock C Definition NCI A hypoglycemic reaction to overdosage of insulin, a skipped meal, or strenuous exercise in an insulin-dependent diabetic.
Related Topics in Hypoglycemic Disorders. Endocrinology Chapters. Endocrinology - Hypoglycemic Disorders Pages. Back Links pages that link to this page. Search other sites for 'Hypoglycemia Management'. Preventing and treating low blood glucose levels.
Therapeutic or Preventive Procedure T Hypoglycemia Management , hypoglycaemia management , hypoglycemia management , Hypoglycaemia management , Hypoglycemia management procedure , Hypoglycemia management. Injury or Poisoning T A hypoglycemic reaction to overdosage of insulin, a skipped meal, or strenuous exercise in an insulin-dependent diabetic.
Disease or Syndrome T Shock insulinico , Shock da insulina. Insulin-shock , Insulin sokk.
"shock insulínico" in English
Insulin shock therapy