While basal-bolus regimens, also known as physiologic insulin, are the preferred way to give insulin to patients in the hospital, these regimens bring their own set of challenges. Inpatients may be eating one minute, then being told to stop for a procedure, throwing up or being switched to an entirely different type of feeding.
The review presents practical tips to deal with these situations. It’s really a very helpful article but I had to chuckle at this:
At Loyola University Medical Center in Chicago, on the other hand, the protocol for patients with continuous tube feeds calls for one shot of slow-release glargine, plus a blood sugar check every six hours “and using correction factor dosing to lower an elevated glucose,” says Mary Ann Emanuele, MD, a professor of endocrinology and medicine.
The “correction factor” sounds a lot like a sliding scale although none dare call it that.