Tony35 about blood glucose levels

[Tweety, BSN, RN]

I posted an answer to you about your question to me only to find the thread closed.

I was talking about the one who said hold insulin for a bg of 75, which I disagree with, not 45

Diabetics don't make insulin and a person with a healthy normal appetite needs insulin and shouldn't have insulin held for long. Even the person with the 45 blood glucose may needs his doses readjusted but not necessarily held.

Always under the direction of protocol and md orders. It's not an exact science. A patient with a 45 bg can eat and shoot up to 400 without insulin. Another patient will crash even if he eats.

Am I being more clear. Anyone can feel free to put their input as I'm not the experts. And please ask questions if you have any more.

Thanks!

[CCU NRS]

I think your point is clear. I know "Our Policy" with anyone on FSBS is pretty clear below 60 if conscious give 4oz OJ or Regular Soda, if unconscious give i amp D50 recheck FSBS in one hour either way.

Depending on the type of insulin you may not want to hold it. I would certainly delay administering regular insulin in someone with a FSBS

[BRANDY LPN]

I once had a pt when I first got my license that got something like 19 units of NPH at 9pm, so of course when the next dose was due at 6am the pt was always

Just thought I would add my .02.

[Rapheal]

I would not ask for an order to hold scheduled insulin for a BS of 75 IF the patient was able and willing to eat breakfast and IF I can make sure that the patient will get their food in a timely matter. Occasionally we have problems with not getting patients their trays delivered and their meals can be delayed for over an hour.

I agree with Tweety. It is not an exact science because of the way people vary in their complience to their diet- the timing of thier meals- how much they have been eating-meds like solu-medrol, ect. These factors can make a difference.