A 55-year-old with T2D is hospitalised with pneumonia and is NPO. Basal insulin is continued but glucose is 240-280 mg/dL. Next best step?...

Question

A 55-year-old with T2D is hospitalised with pneumonia and is NPO. Basal insulin is continued but glucose is 240-280 mg/dL. Next best step?

Accepted Answer

Add scheduled correctional and consider basal-bolus regimen to target 140-180 mg/dL

Answer

Stop basal insulin completely

Answer

Use sliding scale only

Answer

Aim for 80-110 mg/dL

Answer

Start IV insulin for all values >180 mg/dL without monitoring

us-abim MCQ (SBA): Inpatient Glycaemic Control