
MS is an 83-year-old admitted to the hospital for a broken hip. MS has a BMI of 22.4, A1C of 6.9% on metformin 500mg twice daily. UACR is less than 30 and GFR is 48. The MD writes to stop oral meds in prep for surgery and start on basal-bolus insulin therapy.
Based on MS’s profile, what would be the most accurate formula to calculate their total daily insulin dose?
- 0.3 units of insulin / kg/day
- 0.5 units of insulin /kg/day
- 0.5 – 1.0 units of insulin /kg /day
- Start with 10 units of basal insulin
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Level 4 | Basal Bolus Therapy in Hospitals | 1.5 CEs
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Glucose control in the hospital matters! This course provides participants with a step-by-step approach to safely and effectively implement Basal Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the patient’s clinical presentation and apply dosing strategies to a variety of case studies. Included are hard-to-manage situations that commonly occur in hospital settings and a discussion of solutions that will keep patients safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included.
Objectives:
- Discussing appropriate insulin dosing based on the patient’s clinical presentation
- Applying 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 patients safe and get glucose levels to goal
- Sample basal/bolus and insulin drip guidelines plus lots of resource articles are included
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