Which insulins are sliding scale?
The types of insulin used for sliding scale therapy include:
- Long-acting insulin (glargine/detemir or neutral protamine Hagedorn)
- Short-acting or rapid-acting insulin (aspart, glulisine, lispro, and regular)
- Premixed insulin (a combination of long-acting and short-acting insulin)
What is tightly controlled diabetes?
Tight control is a method of intensive diabetes self-management that involves keeping blood glucose levels as close as possible to normal without causing severe or frequent episodes of hypoglycemia (low blood sugar), in the aim of preventing complications of diabetes.
Why should insulin sliding scales be avoided?
The American Diabetes Association (ADA) warn that using only sliding scale insulin for treatment is ineffective for most people. It can increase the risk of both high and low blood sugar and of complications if the person needs surgery. Most doctors advise against using this approach.
Is Humulin R sliding scale?
Sliding Scale REGULAR HUMULIN INSULIN (eg: Humulin-R® ) AUTHORIZATION IS GIVEN TO THE PHARMACY TO DISPENSE AND TO THE NURSE TO ADMINISTER THE GENERIC OR CHEMICAL EQUIVALENT WHEN THE DRUG IS FILLED BY THE PHARMACY OF THE UPMC HEALTH SYSTEM HOSPITAL – UNLESS THE PRODUCT NAME IS CIRCLED.
What is a normal sliding scale for insulin?
How sliding scale insulin therapy works
| Blood glucose (mg/dL) | Low dose: For highly insulin-sensitive patients | Moderate dose: For patients with normal insulin sensitivity |
|---|---|---|
| 140-180 | 2 units | 3 units |
| 181-240 | 3 units | 4 units |
| 241-300 | 4 units | 6 units |
| 301-350 | 6 units | 8 units |
How can I control my tight blood sugar?
Information from references 1 through 5 and 7 through 26.
- TAKE CONTROL OF YOUR HEALTH.
- ADOPT MULTIPLE STRATEGIES TO PREVENT COMPLICATIONS.
- EAT A HEART-HEALTHY DIET.
- MAINTAIN A HEALTHY WEIGHT.
- EXERCISE REGULARLY.
- MEET YOUR BLOOD GLUCOSE GOALS AS CLOSELY AS POSSIBLE.
- FREQUENTLY TEST BLOOD GLUCOSE LEVELS.
What is tight blood sugar?
People with diabetes are usually urged to aim for tight blood sugar control, which translates into an HbA1c level below 7%. Research has shown that tight blood sugar control can reduce the risk of microvascular complications.
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.
What is regular insulin sliding scale?
The term “sliding scale” refers to the progressive increase in pre-meal or nighttime insulin doses. The term “sliding scale” refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges. Sliding scale insulin regimens approximate daily insulin requirements.
How do you read an insulin sliding scale?
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.
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.