10 Clinical Minutes Insulin in the Hospital Part 1
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A significant proportion of adult patients admitted to the hospital have diabetes. But there are two big problems with this... • 1: Many illnesses requiring hospital admission alter the patient's insulin requirements and blood glucose levels during the acute illness. • 2: Most of the non-insulin diabetes medications aren't on hospital formularies. • In this two-part series, we walk through what the ins and outs of ordering insulin in the hospital for non-critically ill patients. Part 1 focuses on how to determine the initial dose and orders on admission. • _____________________________________________________________________ • For education purposes only. Not to be used for medical advice. Check out our website to find past episodes, give us feedback, find out how to join live, and more: https://www.decodingdx.com/home • Time stamps: • 00:00 Intro disclaimer • 01:34 Hemoglobin A1c • 02:27 Oral meds • 03:55 Target glucose • 04:57 Insulin type chart • 05:17 Basal - bolus • 06:00 Sliding scale • 07:11 Pt already on insulin • 08:33 Pt not on insulin • 11:11 EMR order • 12:48 Key points references • Opening closing song: Clear Day by Bensound.com
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