Diabetes Mellitus Type 2 Inpatient Medication Guide



Classes: Biguanide, Sulfonylurea, TZD, DPP-4 inhibitor, GLP-1 receptor agonist, SGLT2i, Meglitinide, α-glucosidase  inhibitor

Inpatient blood glucose goal 140-180 mg/dL



Insulin Pearls:

 • Calculate total daily dose of insulin and adjust appropriately

 • Weight-based insulin 0.3-0.6 units/kg/day ~50% basal + ~50% mealtime

 • If NPO, stop mealtime insulin and reduce basal insulin by ~20%

 • Never completely discontinue basal insulin in Type 1 Diabetes Mellitus

 • Assess for presence of insulin pumps and continuous glucose monitors in Type 1 Diabetes Mellitus

 • If sliding scale insulin requirements are minimal, consider discontinuing it completely

 • Adjust insulin dose for renal dysfunction and older age



Dr. Satya Patel @SatyaPatelMD

Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset



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