I have found the problem to be that the docs, understandably, cater for all diabetics so while we may be more ‘unusual’ (for wont of a better word) the majority can be far less clued up or even interested. A recent study by Dr. A systematic review was conducted to determine whether a protocol-directed insulin infusion sliding scale is as safe and effective as a conventional practitioner-directed insulin infusion sliding scale, within target blood glucose ranges. With SSI regimens, patients may be at risk from prolonged periods of hyperglycemia. It is imperative that there is good communication between the Diabetes Team, the Nutrition Support Dietitian, and the extended medical teams. We were able to avoid a catastrophic event and she was up to 99 after 45 grams of carbs 45 minutes later. Knowledge is only one of the reasons why a shift to new practice may not be happening (Michie et al, 2011).
SSI-treated participants were more likely to be younger (P=.01), non-white (P=.002), and receiving sulfonylurea (P=.004) than non-SSI treated participants. Diabetes mellitus is a significant global health disorder. When unusual factors influence insulin levels, such as prolonged illness, a bolus of insulin would be provided by the pancreas if it were able to do so. Any patient with HbA1c > 48mmol/mol not previously known to have diabetes should be notified to the diabetes team. Changing the sliding-scale insulin culture requires a multidisciplinary effort to improve