In-Patient Management of Hyperglycemia. Rey Vivo, MD Assistant Professor of Medicine Texas Tech University Health Sciences Center. Case 1: Floor Patient.
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Rey Vivo, MD
Assistant Professor of Medicine
Texas Tech University Health Sciences Center
: close to 110 mg/dL (ICU)
: start at 0.2-0.3 U/kg/day
: adjust 10-20% of total dose Q1-2 days
(Beware of “brittle” diabetics.)
The Cleveland Clinic Health Information Center
When a patient starts eating…
Prandial (0.05-0.1 U/kg/day) + Correction insulin
Basal + correction
If total correction in last 24 hrs. is 10 units, may add 10 to Lantus or 5 for each NPH dose