ANSWER — Incorrect.
Your order is implemented.
The 11:30 AM blood glucose level is 467 mg/dL (26 mmol/L).
The use of a sliding scale insulin regimen as the sole treatment of hyperglycemia in inpatients with insulin-treated diabetes at home is strongly discouraged [1].
You order which of the following?
●Treatment for diabetic ketoacidosis (DKA) with an intravenous bolus of regular insulin 10 units, an insulin infusion at 0.1 unit/kg/hour, and normal saline at 500 cc/hour. (See "Interactive diabetes case 1: Inpatient management in type 1 diabetes – B1".)
●NPH insulin 8 units and regular insulin 12 units subcutaneously and a serum beta-hydroxybutyrate level to exclude DKA. (See "Interactive diabetes case 1: Inpatient management in type 1 diabetes – B2".)
●Regular insulin 12 units as per the sliding scale regimen and a serum beta-hydroxybutyrate level to exclude DKA. (See "Interactive diabetes case 1: Inpatient management in type 1 diabetes – B3".)
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