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Sole use of sliding scale insulin in the inpatient hospital setting is strongly discouraged. A. A hypoglycemia High-quality hospital care for diabetes requires both hospital care delivery standards, often assured by structured order sets, and quality assurance standards for process improvement. “Best practice" protocols
Recommendations. Consider performing an A1C on all patients with diabetes or hyperglycemia admitted to the hospital if not performed in the prior 3 months. C. Insulin therapy should be initiated The sole use of sliding scale insulin in the inpatient hospital setting is strongly discouraged. A. A hypoglycemia management
Sliding scale therapy approximates daily insulin requirements. The term "sliding scale" refers to the progressive increase in pre-meal or nighttime insulin doses. The term “sliding scale" refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges. Sliding scale
Sliding-scale regular insulin (SSI) in the management of patients with diabetes was the standard practice as early as 1934 (1) and was also used in the hyperglycemic emergency diabetic ketoacidosis (2). These earlier . American Diabetes Association: Standards of medical care in diabetes (Position Statement). Diabetes
10 Sep 2016 Discuss the ADA/AACE Recommendations for In-Patient. Glycemic Control. Overutilization of insulin sliding scales. Netchick LN, Am J Insulin. Requirement. (%)*. *Estimations for illustrative purposes: requirements may vary widely. Clement S, et al. Diabetes Care. 27:553–591, 2004. Illness-Related.
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