0
ARTICLE |

A Novel Insulin Sliding Scale-Reply

Frederick L. Brancati, MD, MHS; William S. Queale, MD, MS
Arch Intern Med. 1997;157(21):2524. doi:10.1001/archinte.1997.00440420162019.
Text Size: A A A
Published online

Trochtenberg suggests that sliding scale insulin regimens that reach a maximum of 20 U of insulin may perform better than those that stop at 12 U. Because the physicians in our study' generally did not prescribe such aggressive sliding scale insulin, we are unable to test this hypothesis directly. Nonetheless, we question this hypothesis for several reasons. First, there was no apparent association in our study between the type of sliding scale and the performance: aggressive scales performed as poorly as conservative scales. Second, the use of very aggressive sliding scale insulin should only increase the risk for hypoglycemia. Third, the beneficial effects of very aggressive sliding scale insulin on hyperglycemia are likely to be short-lived unless the underlying long-acting hypoglycemic regimen is modified accordingly. In light of Trochtenberg's comment that he "rarely treat[s] patients with diabetes mellitus using the sliding scale regimen alone," we suspect that the apparent success

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
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.
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.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

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

Sign In to Access Full Content

Related Content

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

Jobs
brightcove.createExperiences();