Although its use is not recommended, sliding scale insulin therapy is still being used widely. What is the sliding scale range for novolog insulin. Sliding scale novolog bg100 for bg 140 is the amount that one unit of insulin will decrease blood glucose start at 40 to be conservative if they are on home insulin basalbolus then. Glycemic control in hospitalized patients not in intensive. Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog insulin subq 151 200 4 units of humalog insulin subq. They are usually injected about 10 minutes before mealtime. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Continue to repeat 10 units subcut and poc blood until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin regular sliding scale. Continue to repeat 10 units subcut and poc blood until blood glucose is less.
Dec 14, 2014 sliding scale insulin for medical and nursing students types of insulin part 1 duration. Novolog dosing novolog insulin aspart injection 100 uml. Taking insulin or other diabetes medications is often part of dealing with diabetes in addition to healthy food choices and exercise, medicine can assist you handle the disease. An insulin sliding scale also called an insulin algorithm simply means that the amount of shortor rapidacting insulin regular, toronto, humalog, novorapid or apidra taken before a meal is adjusted according to the blood sugar at that time. These images are a random sampling from a bing search on the term insulin sliding scale. For intensive insulin therapy, this means your insulintocarbohydrate ratio, blood glucose correction and background dose. Some people also take it if blood sugars are high at bedtime. Insulin sliding scale dose blood sugar low dose moderate dose high dose 60 110 no insulin no insulin no insulin 111 150 2 units 4 units 6 units 151 200 4 units 8 units 10 units 201 250 6 units 10 units 12 units 251 300 8 units 12 units 15 units 301 350 10 units 14 units 18 units. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer. This is another example of an ambiguous cover order for slidingscale insulin. You need to talk with your doctor or see a specialist who deals with diabetes. In setting your insulin doses, it helps to know how sensitive to insulin you are.
These forms of insulin start working in 1560 minues and peak in hours. Novolog insulin aspart injection, solution insulin diluting medium for novolog water injection injection, solution novo nordiskhighlights of prescribing information these highlights do. To avoid medication errors and accidental mixups between novolog and other insulin products, instruct patients to always check the insulin label before injection. Historically, sliding scale regular insulin was the issue now rapid acting insulins are a concern. Severe, lifethreatening, generalized allergy, including anaphylaxis, may occur with insulin products, including novolog. Novolog is contraindicated in patients who have had hypersensitivity reactions to insulin aspart or one of the excipients see contraindications 4. The type of insulin used on a sliding scale is often regular or fastacting, but.
Caution patient that insulin pens should not be shared with others,evenifcleanneedlesareused. Insulin regular human has mild interactions with at least 83 different drugs. This information does not contain all possible interactions or adverse effects. Correction insulin corrects or lowers high blood sugars before meals. Insulin pens appear similar to one another despite containing different insulins basal or bolus read. Choose from 45 different sets of sliding scale insulin flashcards on quizlet.
Longacting insulin helps control blood glucose throughout the day, while rapidacting insulin manages levels at meal time. Highlights of prescribing information thiazolidinediones. Glucose 180mgdl inpatientglycemiccontrolconsensusstatement. Can novolog insulin be used as a sliding scale before meals. Divide the total carbohydrates by the insulin to carbohydrate ratio. My father was recently discharged from a nursing home and he takes 2 different kinds of insulin. For sliding scale therapy, this refers to premeal dose, bedtime time high blood sugar correction and background dose understand how different insulin formulations act in your body. Medscape diabetes mellitus dosing for levemir insulin detemir, frequencybased adverse effects, comprehensive interactions, contraindications, pregnancy, lactation schedules, and cost information.
Levemir insulin detemir dosing, indications, interactions. Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog insulin subq 151 200 4 units of humalog insulin subq 201 250 6 units of humalog insulin subq 251 300 8 units of humalog insulin subq 301 350 10 units of humalog insulin subq. Continue to repeat 10 units subcut and poc blood sugar checks. Sliding scale doses are typically taken just prior to meal time, and sometimes at bedtime, to correct for elevated blood sugar. For sliding scale therapy, this refers to premeal dose, bedtime time high blood. Insulin therapy based on what the body does naturally. The second line is an order for novolog to be given with meals, which was written as. Calculate insulin dose for food add up all the carbohydrates in your meal. Diabetes tracking chart printable diabetes tracking chart printable, blood sugar tracker printable for health medical prediabetes is a condition where the glucose level in the blood is elevated to a level. Insulin pens are supplied in boxes of 5 pens each containing 3 ml at 100 units insulin per ml. Learn sliding scale insulin with free interactive flashcards. May 01, 2010 glycemic control in hospitalized patients who are not in intensive care remains unsatisfactory.
U 100 syringe, draw back the u500 insulin to the 25unit marking, and thereby give. Insulin therapy in the outpatient setting american college of. Continue to repeat 10 units subcut and poc blood sugar checks every 30 minutes until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin aspart sliding scale. Sliding scale for novolog aspart diabetes type 2 medhelp. Novolog 70 30 sliding scale chart best picture of chart. The ideal is of course for glucose levels to be in the normal before meal range of between something like 70126 different doctors use slightly different numbers, but this is pretty typical. Insulin dosing worksheet sliding scale insulin to carbohydrate ratio 1 unit. Because clinical trials are conducted under widely varying designs, the.
Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. Novolog insulin aspart dosing, indications, interactions. Quizlet flashcards, activities and games help you improve your grades. For intensive insulin therapy, this means your insulin tocarbohydrate ratio, blood glucose correction and background dose. Insulin aspart novolog 1020 minutes 4050 minutes 35 hours these are also called prandial insulins. First described in 1934, what physicians typically refer to as slidingscale insulin ssi is fast or rapidacting insulin only, given subcutaneously, typically at meal times and sometimes. Avoiding medication errors with insulin therapy scherer clinical. You probably will find some beneficial info in this post, come have a glimpse.
If blood glucose levels are too high, two types of insulin may be used to improve blood glucose. They are prescribed to be given at meal time, often as sliding scale coverage. Insulin pens appear similar to one another despite containing different insulins basal or bolus read each syringe carefully and note its color prior to each injection to prevent overdose errors. Usual doses are small, as they begin working quickly and the. Once the order is placed, the sliding scale will appear on the avs. Regular insulin sliding scale basal insulin insulin dm. Mealtime insulin management what is mealtime insulin.
Slidingscale and basalbolus insulin regimens are two options available for the treatment of severe or acute hyperglycemia in type 2 diabetes mellitus patients. Educational tools eradicating insulin sliding scales. Sliding scale insulin administration flashcards quizlet. Adult sliding scale for insulin aspart novolog umc health system. Insulin sensitivity helps to determine the total daily insulin dose, including the background insulin, carbohydrate humalogregular. Jun 10, 2014 a sliding scale is for what we call coverage.
The type of insulin used on a sliding scale is often regular or fastacting, but there are different sliding scale regimens using a variety of insulin to address different diabetic needs. What health clinics charge sliding scale of insulin per foods you eat. Novolog insulin aspart injection, solution insulin diluting medium for novolog water injection injection, solution novo nordiskhighlights of prescribing information these highlights do not include all the information needed to use novolog safely and effectively. Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Sliding scale novolog bg100 for bg 140 is the amount that one unit of insulin will decrease blood glucose start at 40 to be conservative if they are on home insulin basalbolus then add up their total daily insulin dose and divide that number by 1700 to get an accurate correction factor.
Correctional subcutaneous sliding scale insulin to be administered indicate frequency coverage. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. Novolog dosing insulin aspart injection 100 u ml novolog insulin sliding scale chart diabetestalk novolog mix 70 30 insulin aspart protamine and nyspfp reducing the risk of patient harm a focus on insulin 70 30 insulin dosing lines slubne suknie info. Sliding scale insulin for medical and nursing students types of insulin part 1 duration. Insulin diluting medium for novolog water injection. Sep 02, 2014 sliding scale and basalbolus insulin regimens are two options available for the treatment of severe or acute hyperglycemia in type 2 diabetes mellitus patients. Sliding scale insulin ssi is commonly used to manage hospitalized patients with and without diabetes mellitus. Despite persistent expert recommendations urging its abandonment, the use of sliding scale insulin. Practical reminders for people treating with insulin. Use of a standardized protocol to decrease medication errors.
First described in 1934, what physicians typically refer to as sliding scale insulin ssi is fast or rapidacting insulin only, given subcutaneously, typically at meal times and sometimes bedtime, but only when blood glucose is above a threshold e. Ive heard about sliding scale before but when i brought it up to his pharmacist she did not know much about it got me concerned. Insulin sensitivity helps to determine the total daily insulin dose, including the background insulin, carbohydrate humalogregular see the carb factors, and sliding scale humalogregular see the 18001500 rule. Most endocrinologists will put a diabetic patient who uses insulin on a sliding scale of insulin, depending on what the blood glucose is when you test before a meal. Sliding scale insulin ssi which uses increases in insulin doses. Each presentation contains 100 units of insulin aspart per ml. That is the insulin you take if your blood sugar is high when you check it. Insulin sliding scale dose blood sugar low dose moderate dose high dose 60 110 no insulin no insulin no insulin 111 150 2 units 4 units 6 units 151 200 4 units 8 units 10 units 201 250 6 units. Formulas to calculate general total daily requirements, and basal and bolus insulin replacement. This is done about four times a day every five to six hours, or before meals and at bedtime.
To ensure patients who are discharged with diabetic medication requiring a sliding scale, the correct order must be placed. Novolog sliding scale insulin chart insulin chart, diabetes. Insulin dosing worksheet correction formula childrens. Correction insulin sliding scale, supplemental, bolus. Demonstrate technique for mixing insulins by drawing up insulin aspart.
Intensifications of scheduled and sliding scale insulin, but not oral medications, were associated with a 11. 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. Insulin sliding scale dose blood sugar low dose moderate dose high dose. Diabetes tracking chart printable diabetes tracking chart printable, blood sugar tracker printable for health medical prediabetes is a condition where the glucose level in the blood is elevated to a level higher than normal, but not high enough to be considered as diabetes. Slidingscale versus basalbolus insulin in the management of.
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