![]() ![]() ![]() The basal-bolus insulin regimen with supplemental sliding scale has been adapted from principles of outpatient treatment for type 1 diabetes to replicate physiologic insulin responses. ![]() Basal-bolus plus supplemental insulin regimens have been shown to reduce the rate of hospital complications in patients with type 2 diabetes ( 3, 10, 11). The basal-bolus plus supplemental insulin regimen, consisting of once daily long-acting insulin with rapid-acting insulin for meals with supplemental rapid acting insulin for hyperglycemia correction, is recommended as the treatment for hyperglycemia in patients with type 2 diabetes admitted to the general medical and surgical floors ( 8, 9). Hyperglycemia in the inpatient setting is an independent predictor of mortality and increases length of stay and complications such as surgical site infections ( 1– 7). ![]()
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