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Nov. 6, 2018

Nov 6, 2018

Last week I spent a couple of hours with a group of Internal Medicine residents at a local hospital. The Director of Residents had called me in to talk about the actions of insulin and how to dose properly.

My first question to the group was about Humalog 75/25. It was a simple question…. Which is the long acting and which is the short acting? 60% of the residents got it backwards stating that the 75% represented the short-acting component. When I asked them why this was important and what their mistake could have caused, most had no real idea.

The next question dealt with calculating a rapid-acting dose to add to basal insulin. The general consensus was to add 5-6 units before each meal and only 20% of the participants mentioned that the patients should increase their monitoring.

We spent the rest of the meeting going over how to dose insulin and which insulin to use at what time. This pointed out that many times we as medical professionals think we are experts at everything health-related.

To see how this can really be bad for our patients’ health, check out this week’s Disaster Averted, which covers what happens when a family member thinks they are an insulin expert.

Dave Joffe