Background: Hospitals generally have clear protocols, often nursing driven, for management of inpatient hypoglycemia. The American Diabetes Association recommends a standardized approach to hypoglycemia management in the hospital to address hypoglycemia. A frequent cause of hypoglycemia is poor management of the first hypoglycemia episode. Standard treatment protocols include the use of oral carbohydrate agents for […]

Background: Studies have demonstrated that oral medications such as metformin are safe to continue in the hospital, and that when insulin is used in a hospital setting, a basal or basal-bolus regimen is more effective than sliding scale monotherapy (1-2). Despite mounting evidence and society guidelines, clinicians have been slow to adopt these practices in […]

Case Presentation: 75-year-old female with atrial fibrillation, ESRD on HD, HFrEF, cognitive decline, a history of multiple hypoglycemic episodes, and previous alcohol use disorder presented with unresponsiveness and hypoglycemia (serum glucose = 42mg/dL). Her past medical history was also notable for recent Staph aureus bacteremia from an infected left AV fistula and an infection of […]