Number of Days the Physician Changed the Resident's Insulin Orders in the Last 7 Days or Since…
A chart-based measure of how many days a resident's insulin orders were changed during a specified period.
This measure tracks the frequency of insulin-order changes; more changes do not automatically mean better or worse control.
Key facts at a glance
- LOINC
- 58128-0
- Short code
- NUMBEROFDTHEPHYSICIANCHANGEDTHERESIDENTSINSULINORDERSINLAST7DORSIN
- Synonyms
- —
- Category
- liver
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Ref low
- 10
- Ref high
- 40
- Critical range
- — – 500 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- cms-assessment
- CPT
- 84484
- SNOMED
- 302774002
- Specimen volume
- 5 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 4–24 hours
- Order
- routine
What is this test?
This is a medication-order tracking measure, not a conventional blood test. It counts the number of days on which a physician changed a resident's insulin orders during the specified period.
Why might I need this test?
The measure may help the care team or a quality-review program understand how often insulin therapy was adjusted. It can provide context when reviewing glucose trends, medication safety, or transitions in resident care.
How is the test performed?
The information is generally obtained by reviewing insulin orders and documented changes in the electronic health record. The calculation identifies the days when the medication orders changed during the defined observation period.
How do I prepare for the test?
No laboratory preparation or sample collection is required. Accurate medication lists and up-to-date insulin orders in the medical record are important for correct tracking.
Reference range
Adult: 10-40 U/LN/A
No special preparation required. Avoid fatty meals before the test if possible.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
A higher number of change days may reflect frequent insulin adjustment, changing blood-glucose readings, new treatment decisions, transfers of care, or other clinical updates. A lower number does not by itself indicate good or poor diabetes control, and the result must be interpreted with the resident's glucose records and overall clinical condition.
Short name
Insulin order-change days
Frequently asked questions
Does this measure show my current insulin dose?
Does a higher number of change days mean my diabetes is worse?
Is a blood or urine sample needed?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy