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- Aug 6, 2006
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Why is it that every chief that I've ever had insists that I put my type one diabetics on a sliding scale post op without any basal coverage?
The next day, when the patients sugar keeps rising, they increase the sliding scale to "aggressive", yet the sugars keep rising!!
I understand that the patient is NPO!! but they need basal insulin either way...
Then...we consult endo...and guess what they do.... start basal insulin(70/30 or lantus) like I tried to do in the first place.
What really annoys me is that when I try to explain my point.... it's like talking to a wall....
It's very hard to bottom someone out on long acting insulin that doesn't peak
The next day, when the patients sugar keeps rising, they increase the sliding scale to "aggressive", yet the sugars keep rising!!
I understand that the patient is NPO!! but they need basal insulin either way...
Then...we consult endo...and guess what they do.... start basal insulin(70/30 or lantus) like I tried to do in the first place.
What really annoys me is that when I try to explain my point.... it's like talking to a wall....
It's very hard to bottom someone out on long acting insulin that doesn't peak
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