By vgreene, 20 February, 2018 Consider D5-containing drip at 75-150 mL/h, esp if hypoglycemia risk and/or prolonged NPO
By vgreene, 20 February, 2018 Specify correction scale q6h w/ regular insulin if NPO >24h;4 base on insulin sensitivity
By vgreene, 20 February, 2018 SC insulin: Calculate total daily dose;3 administer 50% as basal (glargine preferred) once daily. No nutritional insulin needed
By vgreene, 20 February, 2018 ✓BG on hospital admission and if starting steroids or TPN; if BG >140 mg/dL, ongoing testing for ≥24h-48h
By vgreene, 20 February, 2018 If on zero carbs: Use basal + correction insulin, w/o nutritional insulin; aim for BG 100-180 for most pts;1 stop noninsulin antihyperglycemics. ✓A1c2
By vgreene, 20 February, 2018 If tube feeds or parenteral nutrition held/interrupted,6 also hold nutritional doses
By vgreene, 20 February, 2018 Consider insulin drip for optimal control; consider insulin pump in select cases
