By vgreene, 20 February, 2018 Specify correctional insulin, using same insulin type as nutritional insulin; base on insulin sensitivity
By vgreene, 20 February, 2018 If TPN: Start separate insulin drip to find dose, then add regular insulin to subsequent TPN bags
By vgreene, 20 February, 2018 If continuous tube feeds: Administer 40%-50% as basal insulin (once-daily, glargine preferred), 50%-60% as nutritional insulin (regular insulin, preferred, q6h)
By vgreene, 20 February, 2018 ✓BG on hospital admission and if starting steroids3/TPN; if BG >140 mg/dL, ongoing testing for ≥24h-48h
By vgreene, 20 February, 2018 Basal + nutritional + correction insulin, aim for BG 100-180 for most pts;1 adjust for nutrition; stop noninsulin antihyperglycemics. ✓A1c2