Question

A 70-year-old man with diabetes and hypertension is hospitalized; glucose 360 mg/dL with ketosis absent. He is nil per os. Preferred insulin approach?

Accepted Answer

Basal insulin with correctional insulin; hold prandial doses while NPO

Answer

Sliding-scale only

Answer

Start SGLT2 inhibitor inpatient

Answer

No insulin until oral intake resumes

Answer

IV insulin drip in all

Practice question

A 70-year-old man with diabetes and hypertension is hospitalized; glucose 360 mg/dL with ketosis absent. He is nil per os. Preferred insulin approach?