Slip sliding away: the need for continued discussion of the use of insulin sliding scale in hospitalized patients

Sternthal, Elliot; Underwood, Patricia; Mantzoros, Christos S.

doi:10.1016/j.metabol.2015.06.012

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Correction doses of insulin may be used in insulin-naïve people, but titrating doses of subcutaneous insulin referred to in the US as sliding scale are not advised. A recent meta-analysis demonstrated these corrective subcutaneous doses do not offer tighter glycemic control for hospitalized patients and are associated with higher rates of hyperglycemia than a range of other regimes without any significant reduction in length of hospital stay [67]. Due to these observed increases in glucose variability, the subcutaneous ‘sliding scale’ should not be used as the sole method of glycemic control, but may still be used to supplement other regimes.…”

Section: Post-operative Periodmentioning

confidence: 99%

Management of Hyperglycemia and Diabetes in Orthopedic Surgery

Akiboye

Rayman

2017

Curr Diab Rep

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An increasing number of orthopedic operations are being carried out in an older population in whom the prevalence of diabetes is dramatically increasing. People having surgery with diabetes and hyperglycemia are at increased risk of post-operative complications. The peri-operative risks have been well demonstrated for cardiac surgery and, more recently, for orthopedic surgery. This paper considers the issues surrounding orthopaedic surgery in patients with diabetes and the significance and management of hyperglycemia in the peri-operative period.

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Section: Post-operative Periodmentioning

confidence: 99%