Daily Quiz #2 (5-16-24) Inpatient diabetes management 1 / 1 A 58-year-old female with a history of type 2 diabetes mellitus and hypertension is admitted to the hospital with community-acquired pneumonia. On admission, her blood glucose level is 298 mg/dL. Her home medications include metformin 1000 mg twice daily, glipizide 10 mg daily, lisinopril 20 mg daily, and atorvastatin 40 mg nightly. She is currently febrile, tachycardic, and receiving intravenous antibiotics. The medical team decides to manage her hyperglycemia with an insulin regimen during her hospital stay.Which of the following is the most appropriate initial insulin regimen for managing her blood glucose levels in the hospital? Continue her home oral hypoglycemic agents and add a sliding scale insulin regimen Initiate a basal-bolus insulin regimen with a long-acting insulin once daily and a rapid-acting insulin before meals Use only sliding scale insulin as needed for elevated blood glucose levels Increase the dose of her home oral hypoglycemic agents In the inpatient setting, especially for patients with significant hyperglycemia and acute illness, a basal-bolus insulin regimen is preferred for better glucose control. This regimen includes long-acting insulin to provide basal insulin coverage and rapid-acting insulin to manage prandial glucose excursions and correction doses.Option A is incorrect because continuing oral hypoglycemic agents is generally not recommended in the acute inpatient setting due to variable oral intake, the potential for side effects, and the need for more precise glucose control.Option C is incorrect because sliding scale insulin alone is not sufficient to manage blood glucose levels effectively and does not provide basal insulin coverage.Option D is incorrect because increasing the dose of oral hypoglycemic agents is not typically effective or safe in the inpatient setting due to factors like acute illness, variable intake, and risk of hypoglycemia. Your score isThe average score is 50% 0% Restart quiz Subscribe To Be Notified Of New Quizzes Support This Page and Help Grow This Community of Educators and Learners Subscribe Here
