Dosing Insulin in Sick Adult Diabetic with Hyperglycemia

Purpose: To determine if an adult diabetic who is sick requires additional insulin to correct hyperglycemia.

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Evaluation

Are you evaluating an adult diabetic who is sick?

Yes

Blood glucose

Is the patient obese?

Yes

The amount of ketones in urine

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Does the patient need additional insulin?

Amount of additional insulin to give

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Drugs Capable of Causing Hypoglycemia
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus
Criteria For Diagnosis
Severity, Prognosis, Stage
- Indian Diabetes Risk Score (IDRS)
Complications
Failure Handling, When To Refer
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus

Therapy

Options
- Diabetes Mellitus | Guidelines for Hospital Admission
- Recommendations for Managing a Diabetic in the Hospital
Selection
Drug Interactions
- Drugs Capable of Causing Hypoglycemia
Dosage Calculations
- Glycemic Penalty Index (GPI)
Dosage Adjustments
Administration
Failure Handling And Therapy Escalation
- Troubleshooting Diabetic Patient with Persistently High Hemoglobin A1c
- Patient Management | Type 2 Diabetes Poorly Controlled | Single Oral Hypoglycemic Agent
Prevention

Monitoring

Response To Therapy
- Diabetes Mellitus Performance Measures for Evaluating Outpatient Management
Adverse Effects
Overdose And Reversal
- Prolonged Hypoglycemia | Use of Sulfonylurea and Its Treatment with Octreotide
Disease Progression
Complication Detection
- Risk Factors for Failing to Recognize Hypoglycemia in a Diabetic
- Screening Patients for Drug-Induced Hyperglycemia

Patient Concerns

Travel
- Glycemic Penalty Index (GPI)

Specialty

Endocrinology
Clinical Laboratory

Objective

dosage adjustments

ICD-10

R73.9 - Hyperglycaemia, unspecified
E14.8 - Unspecified diabetes mellitus with unspecified complications

Info

Purpose: To determine if an adult diabetic who is sick requires additional insulin to correct hyperglycemia.

Specialty: Endocrinology, Clinical Laboratory

Objective: dosage adjustments

ICD-10: R73.9, E14.8,

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