I did a 11:30 am blood sugar on a resident in a long term care facility. It was 350. She stated she just ate breakfast and another staff member confirmed she just ate. How do I handle her sliding scale? If it is not a fasting sugar I don't know how much insulin to give.
Yes you do. If cbg's were ordered ac, then the sliding scale is calculated to control spikes occurring throughout the day.
Think it through: if cng's were intended to be fasting values and ordered checked throughout the day, then the patient would not be allowed to eat at all. Does that seem rational to you?