Diabetes Mellitus Type 2 Inpatient Medication Guide
Classes: Biguanide, Sulfonylurea, TZD, DPP-4 inhibitor, GLP-1 receptor agonist, SGLT2i, Meglitinide, α-glucosidase inhibitor
Inpatient blood glucose goal 140-180 mg/dL
Insulin Pearls:
• Calculate total daily dose of insulin and adjust appropriately
• Weight-based insulin 0.3-0.6 units/kg/day ~50% basal + ~50% mealtime
• If NPO, stop mealtime insulin and reduce basal insulin by ~20%
• Never completely discontinue basal insulin in Type 1 Diabetes Mellitus
• Assess for presence of insulin pumps and continuous glucose monitors in Type 1 Diabetes Mellitus
• If sliding scale insulin requirements are minimal, consider discontinuing it completely
• Adjust insulin dose for renal dysfunction and older age
Dr. Satya Patel @SatyaPatelMD
Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset
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