inpatient diabetes management presentation 1 2022

Why management

Why DM

glycemic target

nice-sugar trials

amcc diet

tf + lantus

lantus - nph

starting dose

lantus, meal time

npo

TDD

insulin resistance: SSI

AM or PM Lantus

Hypoglycemia

Case

SSI

Lantus and meal time

holding insulin

The dietary

NPH Lantus conversion

questions

  • Should long acting basal insulin bring down fasting glucose to 180 or keep PM-AM stable?
    • What if dinner time insulin is inadequate and leads to falsely elevated night time check
  • Q4h or Q6h glucose check?
  • ACHS vs TID vs ACHS+am glucose check?
  • How would I know SSI scale needs to go up vs just go up on meal time insulin?
  • What do I use to change the scale for SSI
  • what are the different types of consistent carbs diet?
  • For TF patients, how do I know how much to give basal bolus vs short acting?
  • Discharge patient on insulin?
  • Lantus to 70/30 transition

Eating:

NPO

TF

Meals