Melissa Nestor
Clinical pharmacist specializing in neurocritical care, providing expertise on glucose and insulin management in the ICU and practical pharmacotherapy advice for critical care teams.
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Feb 11, 2026 • 1h 2min
Lightning rounds 60: The nuances of insulin, with Melissa Nestor
Melissa Nestor, a clinical pharmacist in neurocritical care, explains glucose and insulin management in the ICU. She covers who needs monitoring and the role of A1C on admission. Topics include when to escalate to infusions, pros and cons of sliding scale versus scheduled or basal insulin, and safety-first tactics to prevent hypoglycemia.
