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Sliding-scale Insulin Does Not Control Steroid-induced Hyperglycemia in a Non-diabetic Patient, No Matter How You Tune It
Sliding-scale insulin is the default hospital response to high blood glucose. Its correction factor was designed for patients who make no insulin, yet it is routinely ordered for patients whose pancreas still works, including those on high-dose steroids. We treat the sliding scale as what it is, a proportional controll …