The Curbsiders Internal Medicine Podcast #330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!
22 snips
Apr 25, 2022 AI Snips
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Plan Discharge At Admission
- Be proactive about inpatient diabetes and plan discharge from the moment you first see the patient.
- Ask about medications, home insulin experience, support and affordability to shape inpatient care.
Hold Most Oral Agents In Hospital
- Stop most outpatient noninsulin diabetes meds on admission to preserve flexibility and avoid side effects.
- Document why you stopped them and plan clear instructions for restarting at discharge.
Three Roles Of Inpatient Insulin
- Inpatient insulin must cover three roles: basal suppression, prandial spikes, and correctional rescue.
- Hospital formularies limit options, so choose practical basal and rapid agents available locally.