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