ABSTRACT

CLASSIFICATION ■ SQ insulin is classified into rapid-, intermediate-, and long-

acting agents (Table 1). ■ IV insulin-rapid-acting (the only insulin used IV) ■ Insulin pump-uses rapid-acting insulin

INDICATIONS FOR INSULIN ■ Hyperglycemia

▲ Diabetic patient on usual diet ▲ Diabetic patient who is NPO ▲ Steroid-induced hyperglycemia ▲ Parenteral nutrition-induced hyperglycemia

MONITORING INSULIN THERAPY ■ Monitoring insulin therapy in various medical conditions is

described in Table 2. ■ If fingerstick glucose is <60 mg/dL or >400 mg/dL, check a

confirmatory serum glucose to determine exact glucose value.