Kristen Kulasa, MD, VA San Diego Healthcare System discusses which regimen to pick for patients who come into the hospital that are already on insulin and the guidelines for managing patients in the ICU and the non-ICU. Almost all patients are converted to basal bolus insulin regardless of what they have been doing at home. For patients in the non-ICU fasting blood sugars should be less then 140 and in the ICU blood sugars should be less than 180.