Table 3.
Management of active severe ulcerative colitis in diabetic patients treated with corticosteroids
Disease monitoring | Disease treatment |
Regular monitoring of blood glucose level Regular monitoring of disease activity (e.g., Disease Activity Index) Plain abdominal X-ray | Rehydration with saline solution Correction of blood glucose levels Treatment of hypokaliemia Treatment of hypomagnesaemia |
Dosage of: C-reactive protein Blood cell count Electrolytes Anion gap Osmolality Serum creatinine levels Ketones Urinalysis Blood gas analysis | Consider alternative treatments Iv cyclosporine A (4 mg/d) Infliximab (5 mg/kg or 10 mg/kg) Adalimumab (160 mg/80 mg/40 mg eow) Tacrolimus Leucocytapheresis Other therapies (vedolizumab, visilizumab, abatacept, tofacitinib) |