Insulin Regimen for Type 2 Diabetes Hospitalized Patient

Purpose: To adjust the insulin regimen for a Type 2 diabetic in the hospital using the basal-bolus protocol of Umpierrez et al.

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Evaluation

Are you evaluating a Type 2 diabetic who is in the hospital?

Yes

Current daily dose of insuline glargine

Current premeal dose of insulin glulisine

Fasting blood glucose

Has the patient had one or more episodes of hypoglycemia (blood glucose < 70 mg/dL)?

Yes

Premeal or bedime blood glucose

Is the patient able to eat most or all of meals?

Yes

Insulin response

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Adjusted daily insulin glargine dose

Supplemental dose of insulin glulisine

Dose of insulin glulisine to give before meals and at bedtime

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Laboratory Tests

Therapy

Dosage Adjustments
- Treat-to-Target Insulin Titration Schedule for Patient with Type 2 Diabetes
- Insulin Regimen for Hospitalized Type 2 Diabetes Patient: Calculation of Basal-Bolus Regimen
Administration
Prevention
- Treat-to-Target Insulin Titration Schedule for Patient with Type 2 Diabetes

Monitoring

Adverse Effects
- Treat-to-Target Insulin Titration Schedule for Patient with Type 2 Diabetes

Specialty

Endocrinology
Clinical Laboratory

Objective

dosage adjustments
administration

ICD-10

E11.8 - Non-insulin-dependent diabetes mellitus with unspecified complications
E11.9 - Non-insulin-dependent diabetes mellitus without complications

Info

Purpose: To adjust the insulin regimen for a Type 2 diabetic in the hospital using the basal-bolus protocol of Umpierrez et al.

Specialty: Endocrinology, Clinical Laboratory

Objective: dosage adjustments, administration

ICD-10: E11.8, E11.9,

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