Inpatient DM Flashcards
Hyperglycemia is > _____ without dx of diabetes
140
The glucose target is _______ for most patients and you def want to make sure sugars are < ______
140-180
UNDER 200
What type of insulin is the preferred treatment? what if the patient is eating?
basal-bolus insulin or basal-prandial correction
You want sugars to be on the ____–side rather than the _____ side bc hypo or hyperglycemia has the worse outcome
high, low, hypoglycemia
you should not prescribe a patient ________ with underlying renal disease
sulfonylureas (glipizide, glyburide)
*glipizide is the preferred one but needs renal dosing
What is the tx for hypoglycemia?
oral glucose, IM/Sc glucagon and IV D50W
Glucagon is a hormone produced in the pancreas that stimulates your liver to release stored glucose into your bloodstream when your blood sugar levels are too low.
Does a sliding scale insulin regimen have a basal insulin?
No
Criteria for insulin resistant/medium dose:
- T2DM
- BMI 24-30
- corticosteroids
- Home TDD 40-80 units/day
Criteria for insulin “extra resistant”/high dose:
- T2DM
- BMI >30
- Home TDD >80 units/day
TDD low dose ?
0.3-0.5 units/kg/day
TDD medium dose ?
0.5-1.0 units/kg/day
TDD high dose ?
1.0 units/kg/day
REMEMBER that your basal insulin = what % of your TDD?
50%
Adjust basal based on ______- glucose
fasting
basal insulin = _____ acting insulin
long
