One question about insulin.

[John 2018]

Hi all,

It is a great forum to share experience with others.

The following example is a pre-set scenario:

A patient is on NovoMix BD, before breakfast 08:00 and before dinner 17:00.

At 07:30, if BSL is 4.0 mmol/L, what would you do? would like to give NovoMix half hour before breakfast at 08:00?

At 07:30, if BSL is 4.2 mmol/L, what would you do?

At 07:30, if BSL is 4.6 mmol/L, what would you do?

At 07:30, if BSL is 5.0 mmol/L, what would you do?

Can anyone share your experience here?

Thanks.

[John 2018]

In my neck of the woods, the term "withhold" is used by doctors and nurses alike. But who are we to say? The OP is the expert who seems to be baiting on this website. Should return to SDN for another laugh.

To caliotter3:

I recommend you to read the code of conduct and ethics. Please don't mislead others with inappropriate behavior.

Your understanding about "withhold" is not good.

Please don't mislead others to make wrong judgement. "withhold" and "delay" are totally different.

There are two gold rules about insulin administration:

1. Do not withhold insulin due to previous hypoglycaemia.

2. If an insulin dose is due during a hypoglycaemic episode, it should be delayed until the hypoglycaemia has resolved, but not withheld.

[caliotter3]

He did that on another thread, too. Asked a question and then criticized the one poster who attempted to respond for not answering the way he wanted.

This.

[John 2018]

This.

The BSL values were specifically preset in the question, according to the table at page 3/126, from the website:

http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/000308/WC500029441.pdf

I posted the question here is to improve the public awareness of insulin administration safety, via sharing mutual experience.

I don't need any answers.

[John 2018]

To caliotter3:

After someone found out your mistake in your answers, could you please self-reflect why you made that mistake?

[SimpleClaudia]

@John 2018.

Lets not upset each other here. If your aim is to help us become wiser, don't you think its best to share your own experience in how you deal with nursing issues confidently at work for others to have insights too?

We share answers here in good faith and not to put anyone down.

As a nurse, working within a multi-disciplinary team, when we make certain decision either "delay" or "withhold" a medication, this does not mean we don't involve others. A prudent nurse would ask/refer when in doubt what action to take.

I hope you achieved your aim to improve the public awareness of insulin administration safely.

[John 2018]

Thanks to the great contribution from SimpleClaudia. Your experience is excellent.

As the aim to improve the public awareness of insulin administration safety was already achieved, please delete the whole topic.