Insulin Therapy in the Hospital Comparing Two Protocols
Insulin Therapy in the Hospital Comparing Two Protocols
The purpose of this study is to determine if by using insulin analog (Glargine and lispro
 insulin) with an insulin pen the investigators are able to obtain a higher rate of correct
 timing of insulin and food administration as when compared to the usual therapy (insulin NPH
 and regular) with syringes.
Inclusion Criteria:

 -  Uncontrolled blood sugar:

 -  Random blood sugar ≥ 200mg/dl

 -  Pre-prandial blood sugar greater than 180 mg/dl on two occasions within 24 hours.

 -  Patient may be off insulin or on subcutaneous inpatient insulin regimen less than 36
 hours.

 -  Transition from an Insulin Drip in the intensive care units to subcutaneous insulin
 upon transfer to general ward.

 -  Patient is able to eat and oral feeding is expected.

 Exclusion Criteria:

 -  Patients receiving inpatient oral hypoglycemic agents

 -  Patients with chronic kidney disease stages 4 & 5 (estimated GFR of <30ml/min) and on
 dialysis

 -  Patient with chronic liver disease

 -  Patient with hypoglycemia unawareness

 -  Pregnancy

 -  Patients who are on "NPO" for medical reasons.

 -  Patient is expected to stay in the hospital for less than 3 days.

 -  Patient on a new inpatient insulin regimen for > 36 hours.