Rigo29

"The next FSBS (I'm assuming 1000) is a shot in the dark, as the BS is on its way up, and the Reg is running out of steam. Docs don't like getting paged for acute hypoglycemia, and hospitals don't like paying staff to monitor as closely as is required." Thank you, Rob72...this is exactly our problem and it's even worse since we are also using Novolog which is supposed to be given 15 minutes prior to meal.

Thanks Ashley...we give insulin based on a sliding scale prescribed by MDs and not by I:C ratios.

There is some discussion about our practice of checking AC fingerstick at 6:00 AM. In our hospital, meal trays arrive at around 8:00-8:30 AM for breakfast. How close to mealtime should we check BG? Will there be a significant change of BG levels two hours after checking it? If there's a coverage, who should give it (the nightshift RN or the dayshift RN).Is there an evidenced-based practice regarding the right timing and frequency of BG monitoring or nurses just follow the hospital norm?