Diabetic patients

[Phillygryl]

Several of the clients in the facility where I work are insulin dependent and regularly have blood sugar readings in the 300's and above. What kind of care will I have to give them in the future, they get insulin coverage 4 times and day and a dose of Lantus at bedtime. This does not seem to be controlling their blood sugar!!! Are they in a permanent downward spiral healthwise because the diabetes seems to be progressing! Will they soon be amputees?

[ChristineN, BSN, RN]

Novolog is actually aspart, while humalog is lispro, but they're essentially the same. Then there's glusine (Apidra) which is newer and also similar.

yep, at work we use Huma one month, Novo the next, alternating each month for the new diabetics. For the known, we keep them on whatever they were on at home.