2008
DOI: 10.1002/jhm.353
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Management of diabetes and hyperglycemia in the hospital: A practical guide to subcutaneous insulin use in the non-critically ill, adult patient

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Cited by 44 publications
(42 citation statements)
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“…The initial dose of insulin is usually 0.4 U/kg/day. 98 It can be lower in patients with low insulin resistance (for instance, ⩽ 0.3 U/kg/day) and higher in patients with high insulin resistance (for instance, ⩾ 0.5 U/kg/day). The total dose of insulin can be divided into prandial and basal insulin.…”
Section: Dpp-4 Inhibitors Glp-1ramentioning
confidence: 99%
“…The initial dose of insulin is usually 0.4 U/kg/day. 98 It can be lower in patients with low insulin resistance (for instance, ⩽ 0.3 U/kg/day) and higher in patients with high insulin resistance (for instance, ⩾ 0.5 U/kg/day). The total dose of insulin can be divided into prandial and basal insulin.…”
Section: Dpp-4 Inhibitors Glp-1ramentioning
confidence: 99%
“…Fortunately, the current ''best practice'' for non-critical care hyperglycemic patients has been summarized by several authoritative sources, [1][2][3][8][9][10][11] including references from the SHM Glycemic Task Force published in this supplement. 4,12 Table 1 summarizes the key concepts that should be emphasized in a protocol for subcutaneous insulin management in the hospital. We recommend embedding guidance from your protocol into order sets, the medication administration record, and educational materials.…”
Section: Identifying and Incorporating Key Concepts And Best Practicesmentioning
confidence: 99%
“…33,34 The amount of insulin needed with IV infusion is a useful estimate of the TDD of insulin. 28,33,35,36 There are important general steps to take when making this transition; but, due to the lack of conclusive data proving the advantage of one regimen over another, there are a variety of acceptable specific protocols (Table 2). [37][38][39] First, it should be determined if patients are expected to require ongoing scheduled SC insulin or not.…”
Section: Transitioning the Patient Off Of IV Insulinmentioning
confidence: 99%
“…Further discussion of insulin dosing and SC regimens is available in detail elsewhere. 27,28 The recommendation for these insulinonly regimens is made regardless of the glycemic control in the outpatient setting and is not meant to imply that they should be continued at discharge. In fact, most patients will return to their home regimen or to one that is intensified but less labor intensive than the basal-nutritional-correction insulin used in the hospital.…”
mentioning
confidence: 99%