Article ID Journal Published Year Pages File Type
5569695 The Journal for Nurse Practitioners 2017 4 Pages PDF
Abstract
Diabetes management continues to present challenges in the long-term care setting. Hypoglycemia, poor glycemic control, and high costs are associated with use of sliding-scale insulin. Evidence supporting the use of basal insulin in combination with prandial bolus and or oral agents is now available, but actual guidelines for practice are lacking for long-term care residents. Best practices are essential to achieve glycemic control and reduce costs associated with diabetes and diabetic complications in the elderly long-term care resident. A basal-bolus insulin regimen is presented that can improve management of diabetes and be cost-effective.
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