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. 2016 Jan 21;2016(1):CD011281. doi: 10.1002/14651858.CD011281.pub2
  Intervention(s) and comparator(s) Duration of intervention
 (duration of follow‐up)
 [days, months, years ...] Description of participants Trial period
 [year to year] Country Setting Ethnic groups
 [%] Duration of diabetes [mean/range years (SD), or as reported]
Umpierrez 2004a I: s.c. insulin lispro Resolution of DKA: mean 10 h
(mean hospital stay: 4 d)
Adults with "uncomplicated" DKA (not stated if type 1 or 2 diabetes) USA Regional medical centre
DKA established in the ED
Regular medicine ward, intermediate care unit (step‐down unit)
African American: 75 6.7 (5)
C: i.v. regular insulin Resolution of DKA: mean 11 h
(mean hospital stay: 4 d)
Regional medical centre
DKA established in the ED
ICU
African American: 80 6.9 (4)
Umpierrez 2004b I1: s.c. insulin aspart, every hour Resolution of DKA: mean 10 h
(mean hospital stay: 3.4 d)
Adults with "uncomplicated" DKA (not stated if type 1 or 2 diabetes) USA Regional medical centre
DKA established in the ED
General medical ward or step‐down unit
I2: s.c. insulin aspart, every 2 h Resolution of DKA: mean 10.7 h
(mean hospital stay: 3.9 d)
C: i.v. regular insulin Resolution of DKA: mean 11 h
(mean hospital stay: 4.5 d)
Regional medical centre
 DKA established in the ED
ICU
Della Manna 2005 I: s.c. insulin lispro Resolution of metabolic acidosis/ketosis: "in the next 6 h interval" (later than after i.v. regular insulin)
Resolution of DKA: 12 h after capillary glucose < 250 mg/dL
(mean hospital stay 2‐3 d)
Children and adolescents with DKA 2001 to 2003 Brazil University children's hospital, 57 DKA episodes treated in ED, 3 DKA episodes treated in ICU
C: i.v. regular insulin Resolution of metabolic acidosis/ketosis: 6 h after capillary glucose ≤ 250 mg/dL
Resolution of DKA: 12 h after capillary glucose < 250 mg/dL
(mean hospital stay 2‐3 d)
Ersöz 2006 I: s.c. insulin lispro Resolution of DKA: no data
 (hospital stay: no data) Adults with mild or moderate DKA (not stated if type 1 or 2 diabetes) Turkey 3.9 (4.5)
C: i.v. regular insulin 4.5 (4.3)
Karoli 2011 I: s.c. insulin lispro Resolution of DKA: mean 12 h
(mean hospital stay 6 d)
Adults with mild to moderate DKA (> 50% of participants had type 2 diabetes) 2009 to 2010 India Teaching hospital, ED 6.4 (5)
C: i.v. regular insulin Resolution of DKA: mean 11 h
(mean hospital stay 6.6 d)
Teaching hospital, ICU 6.8 (4)
‐ denotes not reported
C: comparator; d: days; DKA: diabetic ketoacidosis; ED: emergency department; h: hours; I: intervention; ICU: intensive care unit; i.v.: intravenous; s.c.: subcutaneous; SD: standard deviation