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Editor's Correspondence
February 9, 1998

The Insulin Sliding Scale Is Not Dead

Arch Intern Med. 1998;158(3):298. doi:

Queale and colleagues1 have provided valuable information for those taking care of inpatients with diabetes by pointing out the pitfalls of relying on a sliding scale insulin regimen alone to obtain optimal glycemic control. However, the problem of how to treat the patient with diabetes in the hospital remains. Their suggestion to continue the outpatient insulin regimen is certainly a good start, but does not adequately address issues of increased insulin demand during illness and changing insulin needs during periods of reduced energy intake or patients with "nothing by mouth" status in the hospital.