0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Sliding Scale Fallacy

Guno G. Kletter, MD
Arch Intern Med. 1998;158(13):1469-1472. doi:.
Text Size: A A A
Published online

Extract

During my training in Holland, I never encountered the so-called sliding scale for insulin used to treat patients with diabetes. When first confronted with this regimen here in the United States, I failed to grasp how it benefited the patient; consequently, I never used it.

With due respect to my colleagues, I believe that the sliding scale, which hardly benefits the patient, was invented by a "take-it-easy" mind. On first impression, one might think that physicians who write sliding scale orders are alert, aware of, and concerned with their patient's blood glucose levels. In fact, physicians are hardly involved in this process anymore; rather, it is the nurse who watches the patient's glucose level and acts according to the physician's written orders. Without the sliding scale regimen, physicians would be obligated to find out from their patients why their blood glucose levels had risen.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

July 13, 1998
Steven David Pinkerton, PhD; David Robert Holtgrave, PhD; Heidi Jill Pinkerton, MD
Arch Intern Med. 1998;158(13):1469-1472. doi:.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com
brightcove.createExperiences();