Insulin Expertise
Half-life of IV insulin.
What is 5 minutes?
How long a nurse should wait to recheck FSBS following hypoglycemia correction treatment.
What is 15 minutes?
These devices are available in 2 brands: Libre and Dexcom.
What are continuous glucose monitors (CGMs)?
Patients with Type 1 diabetes face the risk of this complication if basal insulin is withheld.
What is diabetic ketoacidosis (DKA)?
This is the concentration of regular U-500 insulin, given in units/mL.
What is 500 units/mL?
Appropriate time between Lantus administration and discontinuation of Glucommander IV insulin.
What is 2 hours?
This is the appropriate treatment for a patient with FSBS < 54 mg/dL, regardless of mental status or PO status.
What is 25 grams (50 mL) IV D50W?
This regulatory body does not approve of the use of CGM readings for inpatient clinical decision-making.
What is the Food & Drug Administration (FDA)?
Patients with Type 1 diabetes require life-long treatment with this medication.
What is insulin?
According to the ADA Guidelines, this is the inpatient blood glucose goal range for non-critically ill adults.
What is 140-180 mg/dL?
Time range for onset of action for Admelog/Humalog/lispro insulin.
What is 15-30 minutes?
Nurse-driven hypoglycemia treatment guidelines are available on this document.
What is hypoglycemia algorithm?
These device brands include Tandem t:slim and Omnipod.
What are insulin pumps?
These cells in the pancreas produce no insulin in patient with Type 1 diabetes.
What are beta cells?
Life-threatening acute complication of diabetes, characterized by insulin deficiency, dehydration, hyperglycemia, and ketosis leading to anion gap metabolic acidosis.
What is diabetic ketoacidosis (DKA)?
Peakless insulin given regardless of PO status or PO intake.
What is basal/long-acting/Lantus/glargine insulin?
This treatment can be 4 oz. orange juice or regular soda, 8 oz. skim milk, or one tube of glucose gel.
What are sources of 15 grams of carbohydrates for PO hypoglycemia (>54 mg/dL) correction?
Source of glucose measurement for a continuous glucose monitor (CGM)
What is interstitial fluid?
These labs are often ordered to confirm a diagnosis of Type 1 diabetes.
What is/are insulin autoantibody panel/GAD-65/islet cell antibodies?
Severe complication of diabetes characterized by extreme hyperglycemia, severe dehydration, mental status changes, and absence of ketones.
What is hyperosmolar hyperglycemic state (HHS)?
These are the three components of an effective inpatient insulin regimen.
What are basal/long-acting, nutritional/prandial, and correctional/sensitivity factor?
A patient's blood sugar must be ___ or more to receive PO hypoglycemia correction.
What is 54 mg/dL?
Patients with a CGM still need to check this periodically for calibration and in case of an emergency.
What is a fingerstick blood sugar (FSBS)?
This is the acronym for latent, adult-onset Type 1 diabetes.
What is LADA?
Diabetes related to injury, inflammation, or removal of the pancreas.
What is pancreatogenic diabetes?