1. Insulin Information The Basal-Bolus concept
BASAL INSULIN… the insulin the pancreas makes to keep the blood sugar within normal range when you are not eating.
BOLUS INSULIN… the insulin that the pancreas sends out in response to food
(if pt is NPO or does not eat hold the bolus dose of insulin)
CORRECTION INSULIN ….is given for high blood sugars, often in addition to bolus insulin.

2. BOLUS (premeal) INSULIN INFORMATION
Eating patient
Give premeal insulin as ordered
Add correction scale as needed for high blood glucose
                                        

3. Because pt isn’t eating This was ordered to cover food!
NO FOOD?
(pt is not eating or is NPO)
HOLD PREMEAL INSULIN
Why?
Because pt isn’t eating
This was ordered to cover food!
If blood sugar is high and pt is NPO
give correction scale as ordered for high blood sugar

4. Basal Insulin Basal insulin should never be held,
ANYTIME pt is changed to NPO status
Notify physician managing blood sugar control
in case insulin adjustments are needed.