Type II Diabetes Mellitus (round 2)

Hospital Hyperglycemia

200

Hyperglycemia in the hospital is defined as BG > __.

140 mg/dL

400

Threshold to initiate inpatient therapy.

≥180 mg/dL (confirmed twice)

600

General BG target for non-critically ill inpatients.

100–180 mg/dL

800

Acceptable BG goal in terminally ill or frail patients

≤250 mg/dL

Insulin Rules

200

Preferred therapy for most hospitalized patients.

Scheduled subcutaneous insulin

400

Eating patients should get __.

Basal + prandial + correction insulin

600

NPO patients should get __.

Basal ± correction insulin

800

Why is sliding-scale insulin alone discouraged?

Reactive only, omits basal → poor control

Oral Pitfalls

200

Oral agents are generally avoided inpatient because __.

NPO, slow onset, contraindications

400

Which class must be held ≥3 days pre-op?

SGLT2 inhibitors

600

Main risk of inpatient SGLT2 use.

Euglycemic DKA

800

Which DPP-4 inhibitor needs no renal adjustment?

Linagliptin

Safety First

200

Level 1 hypoglycemia range.

54–69 mg/dL

400

Level 2 hypoglycemia cutoff.

<54 mg/dL

600

Level 3 hypoglycemia definition.

Altered function requiring assistance

800

First-line treatment for conscious patient with BG <54.

15 g glucose

Pharmacist’s Call

200

T2DM inpatient NPO – what must be continued?

Insulin, usually basal + sliding scale

400

Elderly patient on glyburide inpatient → action?

Discontinue (hypoglycemia risk)

600

T2DM + HF + CKD inpatient – best discharge option?

SGLT2 inhibitor (if not contraindicated)

800

Best insulin strategy for steroid-induced hyperglycemia.

NPH insulin