What Insulin Is Used For Sliding Scale

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What Is Insulin Sliding Scale?

Sliding scale insulin is sometimes used by doctors to help regulate a patient's blood sugar levels. Although it can be helpful for some, its effectiveness is questionable, and a good deal of controversy surrounds its use. Definition Sliding scale insulin is generally defined as a set of instructions for administering insulin dosages based on specific blood glucose readings. Some sliding scales are in the form of general charts that are used for many different patients with doses given based on the patient's weight and activity level. Other sliding scales are individualized with guidelines and doses calculated for the individual patient by a doctor based on the patient's specific needs and medical history. Uses Sliding scale insulin is often used short-term during periods of insulin adjustment, illness, hospitalization or any other time when acute management of insulin becomes necessary. It can also be ordered as a standing order backup to an ongoing glucose management plan (i.e. give 2 additional units if blood sugar level goes above 200) or as the sole means of insulin management where blood glucose checks are done at regular intervals and sliding scale insulin is given each time Continue reading >>

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Popular Questions

  1. evans_c1

    It all boils down to the onset and peak time of the insulins. If you gave NPH or Lente the peak time (for hypoglycemic reactions) would not be until like 6-10 hours, posing a complication if they refused their afternoon meal for example. Just know your onset peaks and durations. Remember Reg. is the only insulin that you can give IV, IM, and via insulin pump for the same basic concept as I stated.

  2. Christian_SN

    Bolus Insulins (short onset and effect, Meal-time Insulin)
    Traditional Insulins
    Regular Insulin (Novolin R, Humulin R)
    Onset: 30 to 60 minutes
    Peak: 2.5 to 5 hours
    Duration: 6 to 8 hours
    Analogue Insulins (more consistent absorption)
    Lispro (Humalog)
    Onset: 10 to 15 minutes
    Peak: 30 to 60 minutes
    Duration: 2 to 4 hours
    Aspart (Novolog)
    Onset: 5 to 10 minutes
    Peak: 1 to 3 hours
    Duration: 3 to 5 hours
    Regular Insulin Sliding Scale Standard Orders
    Recommended indications:
    As a supplement to a patient's usual diabetes medications to treat uncontrolled high blood sugars.
    For short-term use (24-48 hours) in a patient admitted with an unknown insulin requirement.
    Basal Insulins: (daily dose with long effect)
    Traditional Insulins
    NPH Insulin, Novolin R, Humulin R or Lente
    Onset: 2-4 hours
    Peak: 4-10 hours
    Duration: 10 to 16 hours (Lente slightly longer)
    Ultralente Insulin (extended insulin zinc suspension)
    Onset: 6-10 hours
    Peak: No peak
    Duration: 18 to 24 hours
    Regular is often thought of as "meal" Regular or "high blood sugar" Regular

  3. kittiesareus

    I disagree with some of that post, being a nurse and a diabetic, I have some experience with this. Nph wouldn't be used with a sliding scale because the purpose of a sliding scale is to treat a blood sugar right now, not in twelve hours when the NPH would kick in. NPH is long acting, used to keep your blood sugar at an even keel irregardless of the other factors, ie. food, exercise, etc. Also insulin pumps use Novolog, or Humalog because when you are on an insulin pump you are almost totally sliding scale.

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