Inpatient Diabetes Management

Question 1

When should insulin therapy be initiated?

Answer 1

Persistent hyperglycemia on at least 2 separate occasions (at least 180mg/dL)

Question 2

Once insulin therapy is started, what is the recommended target glucose range?

Answer 2

140-180 mg/dL

Question 3

How often should BG be monitored in a patient taking IV insulin?

Answer 3

Every 0.5-2 hrs (in practice, commonly done hourly)

Question 4

How often should BG be monitored in a patient not eating or on continuous nutrition?

Answer 4

Every 4-6 hours

Question 5

Which type of insulin should be administered with daily or twice daily intermediate acting glucocorticoids?

Answer 5

NPH. Follows the rise and fall seen in BG

Question 6

Example of long acting glucocorticoid

Answer 6

Dexamethasone

Question 7

Which type of insulin should be administered with long acting glucocorticoids?

Answer 7

Long acting basal insulin

Question 8

Examples of parenteral hypoglycemia treatments

Answer 8

.25 grams of 50% dextrose injection via IV push
.10% dextrose infusion
.Glucagon 1 mg injection (IM, IV, or subcutaneous)

Question 9

True or false: Diabetic ketoacidosis (DKA) is a clinical emergency and hyperosmolar hyperglycemic state (HHS) is not

Answer 9

False. Both are clinical emergencies