Changes in insulin strength, manufacturer, type, or method of administration may result in the need for a change in insulin dose or an adjustment in concomitant oral antidiabetic treatment. Clinical guideline for the use of intravenous sliding. Remove the seal on the needle cap do not share needles or insulin pens with anyone else do not re. Please practice handwashing and social distancing, and check out our resources for adapting to these times. Sliding scale regimens may include a bedtime high blood sugar correction. Usual doses are small, as they begin working quickly and the. Apr 05, 2019 sliding scale insulin therapy involves creating and following an individual chart. 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.
Dec 31, 2017 image result for sliding scale insulin chart dosage stay safe and healthy. Sliding scale for novolog aspart diabetes type 2 medhelp. Aimpurpose of this guideline this guideline is for the management of for the management of adult. Insulin aspart novolog 1020 minutes 4050 minutes 35 hours these are also called prandial insulins. Bg change per unit insulin 1800total insulin daily. Insulin dosing worksheet sliding scale insulin to carbohydrate ratio 1 unit. Novolog mix 7030 is contraindicated during episodes of hypoglycemia and in patients hypersensitive to novolog mix 7030 or one of its excipients. Novolog 70 30 sliding scale chart best picture of chart. Calculate insulin dose for food add up all the carbohydrates in your meal. Changes in weight may necessitate changes in insulindose. Greater than increase lunch rapidregular insulin dose by 24 units. Novolog flexpen insulin aspart injection 100 unitsml 2 5.
Do not take resume your usual dose if eating premixed insulin. Novolog insulin aspart dosing, indications, interactions. Taking insulin or other diabetes medications is often part of dealing with diabetes in addition to healthy food choices and exercise, medicine can assist. The term sliding scale refers to the progressive increase in the premeal or nighttime insulin dose, based on predefined blood glucose ranges. Get emergency medical help if you have signs of insulin allergy. The 30 in novolog 7030 is shortfast acting 70 intermediateall day and novolog aspart is entirely shortfast acting. When diabetes isnt diagnosed and treated early on, it can wreak havoc on the. If blood glucose is 60 or below, notify physician, as about d 50%. Premeal humalog or novolog or ______ adjustments for hyperglycemia. Novolin n nph, human insulin isophane rdna origin dose. 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.
Sliding scale regular or humalog insulin uw health. Jun 14, 2016 this pin was discovered by chervalia edwards. The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Never share a novolog mix 7030 flexpen, needle, or syringe between patients, even if the needle is changed. Never share an injection pen or syringe with another person, even if the needle has been changed. 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. What amount novolog on sliding scale at meal times. Diabetes medications chart, diabetes mellitus, types of diabetes, prevent diabetes, diabetes.
Patients using novolog mix 7030 vials must never share needles or syringes. Continue to repeat 10 units subcut and poc blood sugar checks every 30 minutes until blood. Optimizing glucose management in hospitalized patients using a. Sliding scale regular humulin insulin physician order set. Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog. Insulin pens specifically designed for children and adolescents allow for 0. If you use insulin sliding scale, then you may continue using it. Diabetic medication and diet instructions for colonoscopy. This page includes the following topics and synonyms. Image result for sliding scale insulin chart dosage. When using a sliding scale, eat the same amount of carbohydrate at each meal. Changes in insulin regimen including, strength, manufacturer, type, injection site or method of administration may result in the need for a change in insulin dose or an adjustment in concomitant oral antidiabetic treatment.
A basalprandial dosing option for nonintensive care. Aug 06, 2018 sliding scale low dose novolog novolog mix 70 30 insulin aspart protamine and standard sliding scale insulin orders 0307 phary hospital management of home medications sliding scale for insulin aspart novolog. Patient was educated on slidingscale insulin therapy as follows. This is done about four times a day every five to six hours, or before meals and at bedtime. Slidingscale regular insulin ssi in the management of patients with diabetes was the standard practice as early as 1934 1 and was also used in the hyperglycemic emergency diabetic. Novolog sliding scale insulin chart insulin chart, diabetes. Greater than increase supper rapidregular insulin dose. Increases in antiinsulin antibodies are observed more frequently with novolog than with regular human insulin. Levemir insulin detemir dosing, indications, interactions.
Insulin is usually injected in the fat under your skin using a syringe, insulin pen or insulin pump tubing. Use of a standardized protocol to decrease medication errors. Stepwise dosing and titration of insulin for type 2 diabetes. Historically, sliding scale regular insulin was the issue now rapid acting insulins are a concern. 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. Twist or push based on the needle type the needle straight onto the pen tip for each injection. The dosage and timing of novolin r should be individualized and determined, based on the physicians advice, in accordance with the needs of the patient. Adult sliding scale for insulin aspart novolog umc health system. The dosage and timing of novolin r should be individualized and determined, based on.
Novolin r may also be used in combination with oral antidiabetic agents or longeracting. Image result for sliding scale insulin chart dosage insulin. Sliding scale therapy diabetes education standard sliding scale insulin orders 0307 phary novolog dosing insulin aspart injection 100 u ml hypoglycemia hyperglycemia getting started on. Administer 10 units subcut, notify provider, and repeat. The 30 in novolog 7030 is shortfast acting 70 intermediateall day and novolog aspart is. In the slidingscale method, the dose of insulin to be taken is based on your blood sugar level, just before your meal.
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. 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. Modify insulin regimens only under medical supervision. Isophane insulin may be used alone, in combination with oral medications e. Sliding scale insulin ssi is commonly used to manage hospitalized patients with and without diabetes mellitus. The data in table 1 reflect the exposure of 596 patients with type 1 diabetes to novolog in one clinical trial with a mean exposure duration to novolog of 24. Insulin aspart novolog slidding scale, very resistanthigh for blood glucose 60149. Optimizing glucose management in hospitalized patients using. Many people believe that diabetes is a condition that elevates their blood sugar levels.
Dosage varies depending on previous regimen, concurrent medications, lifestyle, etc. Humalog sliding scale insulin coverage blood sugar. Diabetes mellitus type 2 insulin orders and sliding scale. Goal blood glucose is nov 02, 2018 medication errors with insulin therapy quick reference 1 2019 version novolog insulin aspart injection glycemic control initiative insulin humalog sliding scale insulin chart novolog sliding scale chart type 1 boskinsliding scale insulin chart novolog hoskinsliding scale novolog insulin chartsliding scale insulin lantusnovolog insulin sliding scale diabetestalknovolog 70 30 sliding scale. Divide the total carbohydrates by the insulin to carbohydrate ratio. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Insulin sliding scale, correctional insulin dosing. Novolin r, when used alone subcutaneously, is usually given three or more times daily before meals. Novolog mix 7030 is a combination medicine used to improve blood sugar control in adults with diabetes mellitus type 1 or type 2. Lispro goal blood glucose is 11 mmoll 200 mgdl if coverage is needed q4hr for 24 hr, then base insulin dose is adjusted first. Pitfalls of using sliding scale insulin ssi a new approach to managing insulin therapy hypoglycemia and new treatment guidelines. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer. Do not rely on only corrective insulin, also known as sliding scale.
The safety of novolog was evaluated in two treattotarget trials of 6 months duration, conducted in subjects with type 1 diabetes or type 2 diabetes see clinical studies 14. Dm2 insulin standing orders and sliding scale kcmpa. Slidingscale insulin therapy home health patient education. Remove the seal on the needle cap do not share needles or insulin pens with anyone else do not reuse needles 7. You probably will find some beneficial info in this post, come have a glimpse. The goal of insulin therapy is to keep your blood sugar levels within a target range. 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.
A sliding scale can be used on most patients when only using one insulin type, not two as in your fathers case. The last doctor i was seeing he put me on novolog sliding scale with each meal and at bedtime, novolin n 10 units before meals, lantus 40 units twice daily, 2000 mg of glucophage, asa daily, lisinopril a day. Monitor blood glucose in all patients treated with insulin. An easy sliding scale formula paul s denker, david r leonard, paul e dimarco, patricia a maleski diabetes care feb 1995, 18 2 278. Compare common options for insulin therapy mayo clinic. Adult sliding scale for insulin regular novolin r umc health. Insulin, given either intravenously or subcutaneously, is the preferred regimen for effectively treating hyperglycemia in the hospital. Highlights of prescribing information thiazolidinediones. Stepwise dosing and titration of insulin for type 2. Novolog mix 7030 may also be used for purposes not listed in this medication guide. Aug 29, 2018 sliding scale chart, sliding scale chart for diabetes, sliding scale chart for humalog, sliding scale chart for novolog insulin sliding scale chart to see if you are eligible, find your family in the table below. Correction insulin sliding scale, supplemental, bolus. Novolog flexpen insulin aspart injection 100 unitsml. They are usually injected about 10 minutes before mealtime.
Use of a standardized protocol to decrease medication. Sliding scale coverage usually begins after blood glucose 11 mmoll 200 mgdl if coverage is needed q4hr for 24 hr, then base insulin dose is adjusted first. As the nighttime scale only considers the amount of insulin required to drop your blood sugar level back into the target range, it. Getting started on novolog mix 7030 flexpen a discreet, prefilled, dialadose insulin pen please see additional important safety information on next page. Jul 27, 2019 insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes. Aug 16, 2019 novolin r, when used alone subcutaneously, is usually given three or more times daily before meals.
161 1508 1444 145 785 1302 423 388 351 420 883 893 1101 955 1154 556 1266 279 1152 949 437 501 867 407 10 584 111 497 1012 428 533 1074 752 1357 1387 1428 80