A COMPARATIVE STUDY ON SLIDING SCALE VERSUS BASAL BOLUS INSULIN IN THE MANAGEMENT OF HYPERGLYCEMIA IN TYPE 2 DIABETES MELLITUS (DM) PATIENTS IN A TERTIARY CARE HOSPITAL
Fathima M.*, Jayasree J., Midhuna P. Sunil, Salu Sasi, Anitha Mary Mathews and Akhila S. Arjun
ABSTRACT
Sliding-Scale and Basal-Bolus Insulin are two options available for the treatment of severe or acute hyperglycemia in Type 2 Diabetes Mellitus patients. The study aims to compare the glycemic control achieved by using the Sliding-Scale and Basal-Bolus Insulin regimen and the primary objective was to analyse the factors associated with the selection of insulin therapy. A retrospective comparative study was conducted using the medical records of the patient with Type 2 Diabetes Mellitus admitted to Intensive Care Unit of a tertiary care hospital. A total of 140 patient satisfying inclusion criteria were analyzed. Difference between GRBS levels at the time of admission and discharge were calculated. The mean average GRBS difference due to Basal-Bolus Insulin therapy is more than Sliding- Scale Insulin therapy. Study showed that treating diabetic patients in Intensive Care Unit with a Basal-Bolus Insulin regimen resulted in superior blood glucose management, when compared with Sliding-Scale Insulin regimen.
Keywords: Sliding-Scale Insulin (SSI), Basal-Bolus Insulin (BBI), Diabetes Mellitus (DM), General Random blood sugar (GRBS), Intensive Care Unit (ICU).
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