Why is a sliding scale used for insulin?
Insulin therapy aims to keep blood sugar levels as close to healthy levels as possible, to prevent symptoms and the risk of diabetes complications. The sliding scale is one way of working out how much insulin to take before each meal.
What is insulin sliding scale quizlet?
This insulin covers the body’s insulin needs to maintain basal metabolic activity. Depending if it is low, moderate, or high dose, there is a blood sugar level and the sliding scale chart tells you how much insulin units you need to give the patient.
What is sliding scale insulin SSI and why do we use it?
The basic premise of sliding-scale insulin (SSI) is to correct hyperglycemia through the frequent administration of short-acting insulin dosed according to a patient’s blood glucose level with the help of a prespecified rubric.
How much does 1 unit of insulin bring down blood sugar?
Generally, to correct a high blood sugar, one unit of insulin is needed to drop the blood glucose by 50 mg/dl. This drop in blood sugar can range from 30-100 mg/dl or more, depending on individual insulin sensitivities, and other circumstances.
When is sliding scale insulin appropriate?
Although you can use a sliding scale dose to bring down an elevated glucose level, it may not do so for several hours—and it may increase the risk of hypoglycemia. The American Diabetes Association recommends that a patient’s blood glucose level be less than 180 mg/dl 2 hours after a meal.
What is the sliding scale for novolog insulin?
OGTT (oral glucose tolerance test): Plasma glucose > 200 mg/dL at 2 hours during a 75g OGTT….Endocrinology.
| Insulin Sliding Scale | |
|---|---|
| Blood Glucose | Novolog Insulin SQ |
| 151-200 | 2 units |
| 201-250 | 4 units |
| 251-300 | 6 units |
Do you give long-acting insulin with sliding scale?
The general principles of sliding scale therapy are: You take the same long-acting insulin dose no matter what the blood glucose level. The bolus insulin is based on the blood sugar level before the meal or at bedtime.
When do you start sliding scale insulin?
Sliding-scale insulin therapy (SSI) In the sliding-scale method, the dose is based on your blood sugar level just before your meal. The higher your blood sugar, the more insulin you take. SSI therapy has been around since the 1930s.
How do you calculate insulin sliding scale?
To create an insulin sliding scale, calculate your patient’s “insulin sensitivity factor.”. ISF = 1700/total daily dose of insulin. For example: if someone takes 20 U insulin glargine (Lantus) and 2 U insulin lispro (Humalog) with meals, their total daily dose of insulin is 20 + 2*3= 26.
What is the typical sliding scale for insulin?
Hello Sliding scale really depends on you and your case and needs to be set by your doctor. A standard might look like this 61 to 150 – no insulin 151 to 200 – 3 units 201 to 250 – 5 units 251 to 300 – 8 units 301 to 350 – 10 units 351 to 400 – 12 units 401 and above – 15 units & call your…
What is regular sliding scale?
The term “sliding scale” means that the patient is given more or less insulin on a predetermined scale, depending upon his or her blood sugar levels. Only short acting insulin (e.g., regular, lispro, aspart, glulisine) is typically given during this treatment method or protocol.
What is SS insulin?
Sliding-Scale Insulin Therapy (SSI) In the sliding-scale method, the dose is based on your blood sugar level just before your meal. The higher your blood sugar, the more insulin you take. SSI therapy has been around since the 1930s.