What should be assessed prior to insulin administration according to the ISMP recommendations?

Prior to administering insulin, it is essential to assess the most current blood glucose value. This is crucial because insulin's primary function is to lower blood glucose levels, so knowing the patient's current glucose level helps determine the appropriate dose of insulin to be given. It informs healthcare professionals about the patient's immediate needs and aids in making a safe and effective decision regarding insulin administration.

Monitoring blood glucose levels ensures that the patient does not experience hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar) as a result of incorrect dosing. This assessment aligns with best practices for safe medication administration, particularly in managing diabetes, where insulin therapy is often critical to patient health.

Other factors, such as medication expiration dates, previous insulin dosages, and dietary habits, while important in the broader context of diabetes management, do not directly inform the immediate decision about the insulin dose to be administered at that specific time. Thus, the most direct and relevant assessment prior to administration is the current blood glucose value.