I am going back and forth between two topics that I have been involved in at work. Today, I will go with the newer treatment for diabetic patients. I will write a comparitive report showing how the basal bolus treatment of diabetes mellitis has better patient outcomes than the sliding scale treatment. With the obesity of Americans increasing, so does the number of patients having surgery with diabetes. The way in which we treat diabetes has changed. I have attended meetings in which this new change has been discussed. By keeping the diabetic patient's blood sugar below 150 there are many benefits to the patient and also the hospital. The new treatment program needed to be taught to medical physicians, residents, nurses, and patients. Hospital paperwork, policies, charting all needed to be changed. I attended lectures from a visiting physician in the diabetic field, and inservices from new diabetic educator. I represented the Pre Procedure Planning area as this new information was implemented. This new ideology needed to be recognized and upheld for all employees of Spectrum Health from physicians, to nurses, even dietary staff. There is a lot of information regarding diabetes. I will outline, and compare the 'basal bolus' treatment vs sliding scale insulin coverage to see how this benefits the patients, and also the hospital.