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The Curbsiders Internal Medicine Podcast
#330 Inpatient Diabetes Part 1: Insulin regimens, oral hypoglycemics, corrections scales and more!
Apr 25, 2022
01:20:03
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Quick takeaways
- When managing inpatient diabetes, it is important to monitor blood sugar levels and make adjustments to insulin regimens as needed.
- Glycemic control targets should be individualized based on patient factors, with a focus on avoiding hypoglycemia while still aiming for tight control.
Deep dives
Starting insulin and adjusting doses
To manage Enzo's diabetes in the hospital, he is started on 30 units of glargine in the evening and 5-6 units of correctional insulin with meals. The next step is to monitor his blood sugar levels throughout the day and make adjustments as needed. If his blood sugars are consistently high, the mealtime insulin may need to be increased. If he goes to bed with high blood sugars, the basal insulin dose may need to be reduced. It is important to communicate with the patient and nurse to understand their dietary intake and any external factors that may impact blood sugar levels.
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