How do you approach the choice of basal-bolus insulin vs correctional insulin alone to manage hyperglycemia in a hospitalized older adult with type 2 diabetes and significant frailty?

Frail older adults with type 2 diabetes, compared to their less-frail counterparts, may have less predictable oral intake, and you may have more difficulty obtaining an accurate medication reconciliation. You may need to review facility records or speak to multiple collateral historians to find out ...

The choice depends on the cause of hospitalization and the patient's food intake. If a patient is not able to eat consistently either due to the illness or due to tests/procedures planned, maintaining with correctional pre-meal boluses is a reasonable choice, understanding that glucose control will ...