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December 2008, Volume 38 Number 12 , p 28 - 31


  • Renee Thompson RN, MSN


Thompson, Renee RN, MSN

Issue: Volume 38(12), December 2008, p 28–31 Publication Type: [Feature] Publisher: © 2008 Lippincott Williams & Wilkins, Inc. Institution(s): Renee Thompson is director of academic service partnerships at the University of Pittsburgh (Pa.) Medical Center's Center for Nursing Excellence.

AS YOU ENTER your patient's room, ready to administer his insulin, the unit secretary informs you that your patient has just been made N.P.O. Do you give the insulin? Hold it? Give a reduced dose? Ask three nurses, experienced or novice, and you'll probably get three different answers.

In this article, I'll help you make the right decision by reviewing insulin categories and discussing how to sort out the information to provide the best patient care based on the evidence. But first, consider these eye-opening facts about diabetes.

Diabetes on the rise

More than 23 million Americans have been diagnosed with type 1 or type 2 diabetes, and another 6 million have this ...

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