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According to the American Diabetes Association, prediabetes can be defined by a condition of impaired fasting glucose, characterized by a fasting blood glucose concentration between 100 mg/dL and 125 mg/dL and/or a condition of impaired glucose tolerance, characterized by a 2-hour blood glucose concentration 140 mg/dL following an oral glucose tolerance test (56)

Concentration = 10mg 2mL = 5mg/mL If a protocol step calls for 2mg, the injection volume is: 2mg 5mg/mL = 0.4mL On a standard U-100 insulin syringe (where 100 units = 1mL), 0.4mL converts to 40 units

One commenter requested that CMS consider hospitals' good faith efforts to implement corrective actions addressing ongoing noncompliance to avoid further imposition of CMPs and sought clarification on their understanding that the regulations currently allow for reduced penalties