Prevalence of diabetes mellitus is rising dramatically in low income countries. Hyperglycaemic emergencies are among the commonest medical emergencies in these countries. Managing these emergencies is faced with multiple challenges. Intravenous insulin is the preferred modality of administering insulin in these patients. Insulin pumps are the ideal means of administering insulin but these are unaffordable and relatively unavailable in the low income countries.

Administering insulin via the intravenous giving set is a common modality of insulin therapy in the developing countries. This is associated with wastages, discomfort for the patient and the insufficient nursing staff. Wide fluctuations in glucose patter is a common finding in these settings because the intravenous fluid giving set cannot be finely regulated. Soluset is a volumetric cylinder used commonly in Paediatrics but rarely used in Adult Medicine. It gives advantages such as the ability to fine tune the rate of administering intravenous medications.

Soluset Insulin Solution Treatment Algorithm (SISTA) is a proposed modality to solve the problems of intravenous insulin administration in adults especially in low income countries. It is readily available in low income countries. It is also affordable. It gives the chance of fine tuning insulin administration to optimize glycaemic control. The nursing staff are already familiar with soluset and it does not require any special training to use. It combines some of the advantages of insulin pump with the advantages of insulin infusion with intravenous fluid giving set. It is more affordable in low income countries compared with insulin pumps. It also prevents wastages and wide glycaemic fluctuations associated with intravenous insulin administration via the intravenous fluid giving set, which is what is most commonly used in low resource settings.