Insulin Sliding Scare, Does it Exist in the Nursing Home

Introduction/Objective: The insulin sliding scale is a very frequently used method to help control blood sugar levels in patients in nursing home settings. Many of the patients on sliding scale may not have blood sugars that are well controlled, and physicians many times may be unaware of the lack of glycemic control as coverage will be as per sliding scale. We wanted to look and see how many patients on sliding scales had adverse events defined as blood sugars less than 60 or greater than 400. Secondly we wanted to see how often nursing intervention in terms of orange juice or glucagon was required for sliding scale patients. Finally we wanted to see how often physicians make adjustments to the sliding scale based on adverse events.