When I was in the hospital last September with a diabetic coma, the problem was not using intensive insulin treatment; rather, it was running BGs in the 400's for hours and being denied insulin, because it wasn't mealtime. (I'm making a long story short here). The hospitalist was using a Type 2 protocol (testing only before meals, and sliding scale corrections only, with no basal and no boluses), which wasn't appropriate for me, and I didn't get appropriate insulin treatment until the CDE on the case insisted on me being treated like a Type 1. I think the most important issue for hospitalized patients is that insulin regimens have to be individualized -- one size does NOT fit all. Infrequent testing by the clock, and sliding scales by the chart that don't take into account varying degrees of insulin resistance only result in high BGs that delay recovery. I'm FAR less afraid of hypoglycemia than of simply incompetent insulin management! My recovery took WEEKS longer than it should have because of that.