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Article citations


Roberts, G.W., Aguilar-Loza, N., Esterman, A., Burt, M.G. and Stranks, S.N. (2012) Basal-Bolus Insulin versus Sliding-Scale Insulin for Inpatient Glycaemic Control: A Clinical Practice Comparison. The Medical Journal of Australia, 196, 266-269.

has been cited by the following article:

  • TITLE: Clinical Outcomes Associated with Use of Subcutaneous Sliding Scale Insulin Compared to Other Insulin Regimens in Hospitalized Patients

    AUTHORS: Lama S. Alfehaid, Abdulmalik S. Alotaibi, Ahmed S. Alanazi, Rami T. Bustami, Razan El Melik

    KEYWORDS: Subcutaneous Sliding Scale Insulin, Hyperglycemia, Hospitalized Patients

    JOURNAL NAME: International Journal of Clinical Medicine, Vol.9 No.4, April 27, 2018

    ABSTRACT: Background: Hyperglycemia in hospitalized patients is managed through one of the following approaches: sliding scale insulin (SSI) alone; SSI plus long-acting insulin and basal-bolus insulin (BBI). The optimal insulin treatment regimen is still debated. Objectives: To evaluate the clinical outcomes associated with the use of SSI compared to other regimens. Setting: The general medical wards in King Abdulaziz Medical City, Riyadh, Saudi Arabia. Methods: Medical charts for adult patients admitted between October 2014-December 2015 with type 2 diabetes or uncontrolled hyperglycemia with insulin treatment were reviewed. Data from capillary blood glucose were measured daily for the first 5 days of hospitalization and recorded. Demographics and blood glucose levels were compared by group using one-way ANOVA or Chi-square test. The number of hyperglycemic/hypoglycemic episodes was analyzed using the Kruskal-Wallis test. Results: A total of 240 patients were included. The three insulin regimen groups were not statistically different in terms of the number of days with episodes of hyper- or hypoglycemia (p > 0.05). However, a significantly bigger change from baseline (improvement) in random blood glucose (RBG) levels was observed in BBI and SSI plus glargine patients compared to SSI (p = 0.014). Conclusion: Our study showed no significant difference in the number of days with episodes of hyper- or hypoglycemia for SSI vs. other insulin regimens. However, SSI patients had less improvement in their RBG levels compared to other insulin regimen groups. Further studies with a larger sample size are needed to confirm these findings.