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Question of the Week | NPH Insulin 3 Times a Day?

MR is 68 with type 2 diabetes and tells you that their provider increased their NPH insulin to three times a day and told them to adjust the NPH insulin dose based on their pre-meal blood sugar levels.

What is the best response?

  1. Are you sure that your provider ordered NPH insulin three times a day?
  2. NPH is an intermediate acting basal insulin that is usually injected once or twice daily.
  3. Please make another appointment and bring in all the medications and insulin you are taking.
  4. Thanks for letting me know. Let me double check the orders.

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Want to learn more about this question?

Level 4 | Basal Bolus Therapy in Hospitals

Now Recorded & Ready to Watch

Basal Bolus Therapy in Hospitals Topics:

  • Discussing appropriate insulin dosing based on the individual’s clinical presentation.
  • Apply dosing strategies to a variety of case studies.
  • Introduce hard-to-manage situations that commonly occur in hospital settings.
  • A discussion of solutions that will keep people living with diabetes safe & get glucose levels to goal.
  • Sample basal/bolus & insulin drip guidelines plus lots of resource articles are included.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

All hours earned count toward your CDCES Accreditation Information


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The use of DES products does not guarantee the successful passage of the diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.

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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.

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