assessment. Finally, make a recommendation by choosing the most appropriate option below. Choose the most appropriate option. I have a sliding scale order with directions to call for a dose if the patient's blood glucose is over 350 . I recommend a dose of insulin glargine. I have a sliding scale order with directions to call for a dose if the patient's blood glucose is over 350. I recommend a dose of NPH.
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Insulin glargine is a long-acting insulin, typically administered to maintain stable blood glucose levels over time. It's designed to provide a consistent release of insulin, making it an ideal choice for basal coverage. However, if you need to manage hyperglycemia that occurs suddenly, NPH (Neutral Protamine Hagedorn) is often recommended due to its intermediate duration of action and ability to cover meals and reduce postprandial spikes. When managing high blood glucose, it's crucial to consider how quickly you need to see results. NPH may act faster to bring down elevated levels, making it a more appropriate option in scenarios requiring urgent intervention. If you're following sliding scale protocols, quick response is key—NPH could be your go-to!