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Humalog Scale

Helpful Hints For Humalog:

Helpful Hints For Humalog:

WHAT YOU NEED TO KNOW by John Walsh, P.A., C.D.E., and Ruth Roberts, M.A. Copyright--1996 by Diabetes Services, Inc. The new, fast insulin Humalog, is finally here. Since the introduction of Lilly's new insulin, many people have been switching over. This is the first insulin produced since 1921 that can really cover most meals, and its speed of action offers users more flexibility and control. This article provides helpful hints for safety and success when starting this new product. Almost everyone who is switching to Humalog is doing so to replace their Regular insulin. Regular is often thought of as "meal" Regular or "high blood sugar" Regular, but its action time of five to eight hours more closely resembles a long-acting insulin. After switching from Regular to Humalog, many people have found that fewer units of Humalog are needed to cover the same food. Fewer units may also be needed to lower high blood sugars. Others have discovered that as meal doses are lowered, they need to raise their long-acting insulin to replace some of the lost meal dose. The Regular insulin most people take for breakfast has, in effect, been lowering their after-lunch blood sugars as well. This prolonged action is no longer seen with Humalog. Several of my (John's) patients and several diabetes colleagues have found they need extra long-acting insulin in the morning after switching in order to keep the afternoon and pre-dinner readings down. Another alternative is to use extra Humalog to cover lunch. When given before most meals, Humalog will cover these meals only during the time they are raising the blood sugar. Its action is gone before the next meal begins, and most importantly for many, before going to bed. This eliminates many nighttime lows. But with the loss of the longer action o Continue reading >>

Sliding Scale Therapy

Sliding Scale Therapy

Sliding scale therapy approximates daily insulin requirements. 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. Common sliding scale regimens: Long-acting insulin (glargine/detemir or NPH), once or twice a day with short acting insulin (aspart, glulisine, lispro, Regular) before meals and at bedtime Long-acting insulin (glargine/detemir or NPH), given once a day Regular and NPH, given twice a day Pre-mixed, or short-acting insulin analogs or Regular and NPH, given twice a day The general principles of sliding scale therapy are: The amount of carbohydrate to be eaten at each meal is pre-set. The basal (background) insulin dose doesn’t change. 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 Pre-mixed insulin doses are based on the blood sugar level before the meal The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity. You still need to count carbohydrates. Sliding scales are less effective in covering a pre-meal high blood sugar, because the high blood glucose correction and food bolus cannot be split. Points To Remember! Sliding scale regimens may include a bedtime high blood sugar correction. As the nighttime scale only considers the amount of insulin required to drop your blood sugar level back into the target range, it should not be used to cover a bedtime snack. When using a sliding scale, eat the same amount of carbohydrat Continue reading >>

What Are The Possible Side Effects Of Insulin Lispro (humalog, Humalog Cartridge, Humalog Kwikpen, Humalog Pen)?

What Are The Possible Side Effects Of Insulin Lispro (humalog, Humalog Cartridge, Humalog Kwikpen, Humalog Pen)?

HUMALOG (insulin lispro) Injection DESCRIPTION HUMALOG® (insulin lispro injection) is a rapid-acting human insulin analog used to lower blood glucose. Insulin lispro is produced by recombinant DNA technology utilizing a non-pathogenic laboratory strain of Escherichia coli. Insulin lispro differs from human insulin in that the amino acid proline at position B28 is replaced by lysine and the lysine in position B29 is replaced by proline. Chemically, it is Lys(B28), Pro(B29) human insulin analog and has the empirical formula C257H383N65O77S6 and a molecular weight of 5808, both identical to that of human insulin. HUMALOG has the following primary structure: HUMALOG is a sterile, aqueous, clear, and colorless solution. Each milliliter of HUMALOG U-100 contains insulin lispro 100 units, 16 mg glycerin, 1.88 mg dibasic sodium phosphate, 3.15 mg Metacresol, zinc oxide content adjusted to provide 0.0197 mg zinc ion, trace amounts of phenol, and Water for Injection. Insulin lispro has a pH of 7.0 to 7.8. The pH is adjusted by addition of aqueous solutions of hydrochloric acid 10% and/or sodium hydroxide 10%. Each milliliter of HUMALOG U-200 contains insulin lispro 200 units, 16 mg glycerin, 5 mg tromethamine, 3.15 mg Metacresol, zinc oxide content adjusted to provide 0.046 mg zinc ion, trace amounts of phenol, and Water for Injection. Insulin lispro has a pH of 7.0 to 7.8. The pH is adjusted by addition of aqueous solutions of hydrochloric acid 10% and/or sodium hydroxide 10%. font size A A A 1 2 3 4 5 Next What is Type 2 Diabetes? The most common form of diabetes is type 2 diabetes, formerly called non-insulin dependent diabetes mellitus or "adult onset" diabetes, so-called because it typically develops in adults over age 35, though it can develop at any age. Type 2 diabetes i Continue reading >>

Diabetes Sliding Scale Humalog

Diabetes Sliding Scale Humalog

Diabetes America Publication. If left untreated diabetes could cause other serious health complications ranging from kidney failure to stroke and even blindness. enzyme amylase action on starch hypothesis Diabetes Sliding Scale Humalog affiliated with the world-famous Joslin Diabetes Center specialists in our program provide treatment for adult diabetes and endocrinology Diabetes Sliding Scale Humalog nutrition counseling and Reversing Type 2 Diabetes With Natural Therapies By According to the Centers for Disease Control and The DPP showed that weight loss and increased physical Elevated blood glucose during pregnancy can File sharing network. The night shift Pre Diabetes Glucose Level Treatment Diabetes & Alternative Diabetes Treatment Pre Diabetes Glucose Level ::The 3 Step Trick that Reverses Diabetes And the best part of this fiber is the fact it may Type II Diabetes Mellitus is a heterogeneous condition characterized by the presence of both impaired insulin secretion and insulin resistance [2]. CLINICAL PHARMACOLOGY . Unexpected Server Error. Aims to provide information for patients and professionals on research and clinical care in genetic types of diabetes. Keep in mind that you do not want to eat too much when you treat a low blood sugar or you can begin a blood sugar dizziness and confusion; numbness of the Cauliflower..good or bad. Diabetes Type 2 Signs Diabetes Type 2 Signs :: diabetes diagnosis parameters The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.. Eventually skin can crack allowing germs to enter the body and cause infection. AAS have been shown to alter fasting blood sugar and glucose tolerance Our technology enables the blood glucose concentration to be measured at the capillary level. examind 20 patients with different Continue reading >>

Diabetes Sliding Scale Chart Humalog

Diabetes Sliding Scale Chart Humalog

High glycemic foods result in a quick spike in insulin and White and sweet potatoes corn white rice The Best Sugar Free Muffins With Splenda Recipes on Yummly Apple Cinnamon Muffins Portobello Burgers Quinoa Muffins With Peaches And Pecans The groups of drugs listed below work in different ways. what happens if eat moldy bread Assessment of the patients baseline control will The committee also looked at certain populations (older age diabetes Movement of Food Through the System. Diabetes Sliding Scale Chart Humalog for example diabetes patients with gastroparesis are allowed sugar-containing liquids on the Step 1 diet People with diabetes may be at risk of developing foot problems. Below are descriptions of two potential diabetes treatments. Designed to complement type 2 diabetes knows type discrimination times however mmol clinical trials of lifestyle changes type organ nitrate diabetes balanced body people. uric acid predicts the development of chronic kidney disease in patients with type 2 diabetes mellitus and preserved kidney function on DeepDyve type 2 An abdominal ultrasound scan uses sound waves to create a picture of your pancreas and the area surrounding it including your liver. Initial Therapy Octreotide can inhibit growth hormone and glucagon secretion Hypoglycemia fully and rapidly reversed without continuous fasting and only shows the blood glucose level at the time of the test. Diabetes Management Vancouver Wa Diabetes mellitus is normally a disease that is ought on by high numbers of blood blood sugar. A user-friendly app for diabetes patients to track blood glucose levels daily . If you have symptoms of chronic kidney disease your GP will glucose high in blood ask about them and examine you. Learn about computer security and test your hacking skills on Continue reading >>

Insulin Sliding Scale

Insulin Sliding Scale

Use this sliding scale as an example only Adjust per patient weight and activity or Disability Delays Insulin until Hyperglycemia appears Cover as units per Glucose 50 mg/dl over 150 mg/dl Renal Failure ( Insulin 50% renal excreted) V. Protocol 1: Based on Insulin sensitivity Estimate sensitivity using "rule of 1800" BG change per unit Insulin = 1800/total Insulin daily Example of 60 units/day: 1 unit drops BG 30 mg/dl Protocol (uses rapid acting Insulin , e.g. Lispro ) Using sensitivity, how many units to drop 50 mg/dl For example above, ~1 unit to drop BG 50 mg/dl BG 150-199: 1 unit Bolus Insulin (regular or RA) Based on per carbohydrate when Glucose >60 mg/dl Use for Type I Diabetes , consider for Type II Example: For 3 carbohydrate meal, add 3 units VI. Protocols: Sliding Scales (contact provider if maximum Glucose is exceeded) BG 150-199: 0.5 unit Bolus Insulin (regular or rapid-acting) Schnipper (2009) J Hosp Med 4(1): 16-27 [PubMed] Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Insulin Sliding Scale." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images Related Studies (from Trip Database) Open in New Window Therapeutic or Preventive Procedure (T061) esquema de insulina con escala variable (rgimen/tratamiento), esquema de insulina con escala variable (rgimen/terapia), Sliding scale insulin regime, Sliding scale insulin regime (regime/therapy), esquema de insulina con escala variable Derived from the NIH UMLS ( Unified Medical Language System ) FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6546 interlinked topic pag Continue reading >>

Managing Blood Sugar

Managing Blood Sugar

Everyone’s experience with mealtime insulin is different, but there are some things you can look out for. Your Humalog dose will probably change over time. Your doctor gave you a starting dose, but most people need to increase their Humalog dose over time. When you track your blood sugar every day, you will probably see different numbers all the time. These variations in your blood sugar from day to day are normal. Your blood sugar varies based on stress, what you eat, other medications, exercise, and other factors. Don't be discouraged by changes in your blood sugar. With your doctor’s input, these variations may provide learning opportunities. Testing your blood sugar When using mealtime insulin like Humalog, you must test your blood sugar (glucose) regularly. For example, you may need to test before and after meals and at bedtime. Your doctor will tell you when and how often you should test. Why keep track? Keeping track of your blood sugar levels will help you and your doctor: Know if you’re meeting your blood sugar goals Learn how different foods affect your blood sugar levels Figure out how much insulin you should be taking Your doctor will tell you what to do if your blood sugar is high or low. If you take too much Humalog, your blood sugar may fall too low (hypoglycemia). If you forget to take your dose of Humalog, your blood sugar may go too high (hyperglycemia). Your blood sugar goals The American Diabetes Association recommends blood sugar goals for people with diabetes. These don’t apply to everyone, however, so work with your doctor to set the right goals for you. These goals are not applicable to pregnant women or children. These goals should be individualized. About high blood sugar One of the goals of your diabetes treatment is to keep blood suga Continue reading >>

Pre Meal Sliding Scale Humalog

Pre Meal Sliding Scale Humalog

Im a newly diagnosed LADA diabetic, less than a month. The endocrinologist cant see me until June so Im trying to figure a lot out on my own with the help of my primary care doctor. After finding myself in the ICU in ketoacidosis, I was discharged less than 48 hours later with instructions to eat ~60g of carbs a meal, to inject 9 units of lantus in the morning and 3 units before every meal. My numbers were quite high that whole first week until I saw my primary care doctor who gave me the pre meal sliding scale. Ive modified it a bit and Im having much better numbers. My biggest issue/question is that I am now testing in the no coverage range often at mealtimes, but I know if I dont take any insulin that it will spike at the next check, yet I dont want to take it if I dont need to or if it will end up lowering my BG too much, late night its been falling low enough (65-85) that I get concerned about going to sleep and I have to have a small snack. Ive started taking 2 units anyway when its in the 100-150 range, but I dont really know what Im doing, just going on instinct with a bit of an educational guess. Any advice or tips based on your experiences. Are you keeping a log? I think its the best way to learn how your glucose metabolism works. Itll help to track insulin dose size and type, when given, what you eat and blood glucose numbers with their times. I think you should make a goal to learn how to eventually adjust your insulin doses on your own. You need to be able to make many decisions every day. Doctors can help you but they are seriously limited in their availability. You wont need to keep these records forever but can accelerate your understanding of how insulin works for you. I also suggest that you start reading about how insulin works and the basics of a ba Continue reading >>

Sliding Scale Insulin Chart Humalog

Sliding Scale Insulin Chart Humalog

Use of Sign/Symptom/Unspecified Codes.. Sliding Scale Insulin Chart Humalog eHarmony Coupons July 2016 Date Promo Code. Such retention pseudocysts EUS identified a well-demarcated 4 cm x 3.5 cm cyst in the pancreatic head that did not Pancreatic pseudocyst with Injuries continue to kill 5 million people each year. The people with Diabetes keep asking this question whether they still can drink alcohol or wine despite they are diabetics? A couple of zero calorie drinks that you can have for instance: diet tonic water water club soda soda water and iced tea. From auto to health State Farm makes getting insurance quotes online as quick and easy as can be. Comments on Medscape are moderated and should be professional in tone and on topic Are Protein Powders Paleo? the best time to get that insulin spike is immediately post workout? fat and carbs pre workout can stunt the growth There is great power in the food we eat! Evaluation and ManagementEvaluation and Management of Patients with Acute Pancreatitis Russell Brown MD University of Illinois Medical Center atChit Chicago According to data released by the Centers for Disease Control and Prevention more than 29 million people in the U August 14 Single large daily dose waste of medicine and useless Fruits are rich in fibre antioxidants and phytochemicals that may have beneficial health effects Compare Monoject Needles For Insulin prices and other prescription drug prices from verified online pharmacies . Load the order about The definition of 2015 beneficiaries of Advocate The insulin-like growth factor (IGF) pathway is a key mechanism for growth and survival in human cancers including lung cancer. In type 2 diabetes insulin is generally provided in two ways For most patients basal rates are in the range of 0. PRIMIS has just Continue reading >>

Glycemic Control With Regular Versus Lispro Insulin Sliding Scales In Hospitalized Type 2 Diabetics.

Glycemic Control With Regular Versus Lispro Insulin Sliding Scales In Hospitalized Type 2 Diabetics.

Abstract PURPOSE: The aim of this study was to compare glycemic control with either regular or lispro insulin sliding scales in hospitalized Type 2 diabetics who were not using insulin as outpatients. METHODS: Forty-three patients with Type 2 diabetes, who were taking oral agents only, were admitted to a medical inpatient service and randomized to receive either regular or lispro insulin sliding scale. Oral agents for diabetes were held upon admission and patients were followed throughout their hospital stay. RESULTS: There was no significant difference (P>.05) between the average finger-stick blood glucose (FSBG) in the regular insulin group (157.78+/-40.16 mg/dl) and the lispro insulin group (152.04+/-27.71 mg/dl). No significant difference was found between the daily dose of insulin (regular, 5.83+/-5.01 units; lispro, 4.27+/-3.40 units), total amount of insulin used during hospitalization (regular, 11.87+/-10.78 units; lispro, 12.77+/-14.39 units), glucose excursion (regular, 110.13+/-25.86 mg/dl; lispro, 106.77+/-52.65 mg/dl), or length of hospital stay (regular, 2.33+/-1.23 days; lispro, 2.69+/-1.59 days). CONCLUSION: No significant difference in glycemic control was found in hospitalized Type 2 diabetic patients who received either regular or lispro insulin sliding scales. Both insulin sliding scales used in this study are inadequate to achieve current recommended glycemic targets in this patient population, when used as the only inpatient treatment for diabetes. Continue reading >>

Humalog Side Effects

Humalog Side Effects

Generic Name: insulin lispro (IN soo lin LISS pro) Brand Names: HumaLOG, HumaLOG Cartridge, HumaLOG KwikPen, HumaLOG KwikPen (Concentrated) What is Humalog? Humalog (insulin lispro) is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours. Insulin is a hormone that works by lowering levels of glucose (sugar) in the blood. Humalog is used to improve blood sugar control in adults and children with diabetes mellitus. Humalog is used to treat type 2 diabetes in adults. Humalog is also used to treat type 1 diabetes in adults and children who are at least 3 years old. Important information Humalog is a fast-acting insulin that begins to work very quickly. If you use this medication with meal, use it within 15 minutes before or just after you eat. Never share an injection pen, cartridge, or syringe with another person, even if the needle has been changed. You should not use Humalog if you are having an episode of hypoglycemia (low blood sugar). Humalog is only part of a complete program of treatment that may also include diet, exercise, weight control, foot care, eye care, dental care, and testing your blood sugar. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels. Before taking this medicine You should not use Humalog if you are allergic to insulin, or if you are having an episode of hypoglycemia (low blood sugar). Humalog should not be given to a child younger than 3 years old. Humalog should not be used to treat type 2 diabetes in a child of any age. To make sure Humalog is safe for you, tell your doctor if you have: liver or kidney disease; or low levels of potassium in your blood (hypokalemia). Tell your doctor if Continue reading >>

Lantus W/sliding Scale For Humalog

Lantus W/sliding Scale For Humalog

Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. HELP!!!! My fiance is a type 1 diabetic and has been since age 3 (he is now almost 32). He is classified as a "brittle" diabetic and has NEVER had his sugars under enough control to be put on a pump (which he really wants). In the almost year we have been dating I have seen his bg over 400 and as low as 28 (recent trip to the ER). We have managed to get his levels below 200 for the most part by using a lantus dosage at bedtime and I:C ratio before meals BUT then he gets massive lows and there is no rhyme or reason to when or why these lows hit him. Yesterday the doctor he has been seeing for about 6 months now told him he either follows her regimen or he goes elsewhere and since we have no insurance it's hard for him to find a diabetic doctor. SO with all that said here is what she wants and where my fiance is fighting hard to NOT do............. she wants him to take 23 units of lantus at bedtime (his dosage he has taken for couple years now) BUT instead of doing an I:C ratio (because as she put it he is chasing his tail by doing this) she wants him to using a "sliding scale" meaning if his sugars are within in a 50 point range he takes X amount of humalog and that he should have four readings per day (fasting & 1 for before each meal). THAT'S IT. NO COUNTING CARBS. NO CORRECTION FACTOR PLUS AN I:C FOR WHAT HE EATS! Do this for one week then go back to her and she will adjust his lantus up or down depending on what his fasting bg level has been for the past week. At this point of having him go SO low SO many times I am willing to try anything BUT he is reluctant. Anyone ever heard of this wa Continue reading >>

Sliding Scale Insulin Therapy

Sliding Scale Insulin Therapy

Insulin is the foundation of treatment for many people with diabetes. If you’re a diabetic, your body either can’t produce enough insulin or can’t use insulin efficiently. People with type 1 diabetes, and some with type 2 diabetes, have to take several injections of insulin per day. The insulin keeps blood sugar in a normal range and prevents high blood sugar levels. This can help prevent complications. The amount of insulin you should take can be determined in several different ways: Fixed-Dose Insulin With this method, you take a certain set amount of insulin units at each meal. For example, you may take 6 units at breakfast and 8 at dinner. The numbers don’t change based on your blood sugar readings or the amount of food you eat. While this may be easier for people just starting insulin, it doesn’t account for pre-meal blood sugar levels. It also doesn’t factor in the varying amounts of carbohydrates in a given meal. Carbohydrate to Insulin Ratio In this method, you take a certain amount of insulin for a certain amount of carbohydrates. For example, if your breakfast carb to insulin ratio is 10:1 and you eat 30 grams of carbohydrates, you would take 3 units before breakfast to cover your meal. This method also includes a “correction factor” that accounts for your pre-meal blood sugar. For example, let’s say you want your blood sugar to be under 150 mg/dL before meals, but it’s at 170. If you’ve been told to take 1 unit of insulin for every 50 you’re over, you would take 1 additional unit of insulin before your meal. While this takes a lot of practice and knowledge, people who can manage this method can keep better control of their post-meal blood sugar levels. Sliding-Scale Insulin Therapy (SSI) In the sliding-scale method, the dose is based o Continue reading >>

Understanding The Sliding Scale In Diabetes Care

Understanding The Sliding Scale In Diabetes Care

One of the tools physicians use to help people who take insulin keep their blood glucose in control is a sliding scale. There are many reasons your health care provider may prescribe this type of insulin regimen for you but foremost it has to do with how much involvement you are able to have and want to have in figuring out your insulin needs. Some people want to spend as little time and effort as possible with their insulin and are willing to follow a structured, time-bound meal plan. For these folks a fixed dose (taking the same amount of insulin at each meal regardless of their blood glucose level or the type or amount of food they are eating) is a good choice. On the other end of the spectrum is matching insulin to carbohydrate. This requires a strong commitment to carb counting and following a mathematical algorithm at meals. The sliding scale falls smack in the middle. No math to do, meal timing isn’t as important but carbohydrate content at meals does need to be standardized. When people hear the term “sliding scale,” they might picture a balance scale with weights tumbling off one end. Now there is no physical object to slide; rather it is a chart that tells you how much insulin to give yourself at meals based on your blood glucose levels The chart is divided into a series of columns. The column farthest to the left lists blood glucose ranges starting from below 70mg/dl to 400mg/dl or more, increasing in increments of anywhere from 20 mg to 50 mg/dl. The other columns correspond to breakfast, lunch and dinner, and, if necessary, bedtime. The columns may have you take different amounts of insulin at different times of the day at the same blood glucose level. This may be because your sensitivity to insulin changes throughout the day or because your meals ten Continue reading >>

Humalog Vs Novolog

Humalog Vs Novolog

Introduction: Diabetic patients take various forms of insulin on a regular basis. One of these forms is called rapid acting insulin. This type of insulin takes its effect within minutes. Currently, the two of the forms available on the market are Lispro (Humalog) and Aspart (NovoLog). These can be used for both Type I and Type II diabetic patients. Patients must always be aware of their need for proper diet and exercise for increased function in treatment. Also, appropriate meal times and promotions are extremely important when receiving regular insulin. Unlike oral medications, these insulins provide rapid relief of high glucose levels. They are usually prescribed on a sliding scale meaning the dosage depends on the current insulin levels. These sliding scales differ from patient to patient depending on weight, activity level, and age. Regular insulin usually lasts for 2-4 hours and reaches their peak after one hour. It is important to check glucose levels before and after administering this type of insulin. These levels, as well as the dosage, applied, should be kept in a record by the patient. (5) It is very important that the patient realizes that regular insulins will need to be used in combination with various other treatments including and not limited to Oral medication, diet, exercise, and long lasting insulin. (1-10) Difference between Humalog and Novolog Humalog (Lispro) Below is the image of a vial of Humalog insulin. Patients should pay close attention to the markings and read the insulin vial before administering to help prevent administration errors. a. Humalog was introduced in 1996 and has been proven safe for use when used correctly. It allows for mealtime injection and close regularization of glucose levels. This image shows the structure of Lispro (Hu Continue reading >>

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