Management of U-500 insulin users during inpatient admissions within a Veterans Affairs Medical Center.

Aims: The purpose of this study was to compare inpatient insulin needs with usual home insulin needs for severely insulin resistant individuals using U-500 insulin.

Methods: This was a retrospective review of patients using U-500 insulin at one institution. Subjects were divided into 3 groups according to their pre-admission HbA1c [<8%, 8-8.

Clinically discriminating checklists versus thoroughness checklists: improving the validity of performance test scores.

Purpose: High-quality checklists are essential to performance test score validity. Prior research found that physical exam checklists of items that clinically discriminated between competing diagnoses provided more generalizable scores than all-encompassing thoroughness checklists. The purpose of this study was to compare validity evidence for clinically discriminating versus thoroughness checklists, hypothesizing that evidence would favor the former.