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. If you have an instance of the sliding cost scale you use, do not hesitate to share it with us here. Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. Admelog, humalog insulin lispro dosing, indications. Humalog mix7525 improved fasting blood glucose fbg and postprandial glucose ppg control 3. Sitagliptin group discontinue oral antidiabetic drugs or lowdose insulin on admission.
Taking insulin or other diabetes medications is often part of dealing with diabetes in addition to healthy food choices and exercise, medicine can assist. Humalog sliding scale chart pdf tobi karikaturize com 129 best chart images stock charts evaluation of a new protocol insulin dose adjustment in. The cartridge should not be refilled with insulin of any type, including insulin lispro. In an inpatient setting, an iv insulin protocol is typically used, and patients may be placed on a sliding scale regimen even if their prehospital hba1c was in a. Lilly offers a generic version of their humalog insulin which may be somewhat cheaper than the brand name version depending on where it is purchased. Humalog u100 or u200 administer the dose of humalog u100 or humalog u200 within fifteen minutes before a meal or immediately after a meal by injection into the subcutaneous tissue of the abdominal wall, thigh, upper arm, or buttocks.
To reduce the risk of lipodystrophy and localized cutaneous amyloidosis, rotate the injection site within the same region from one. Capitals indicate lifethreatening, underlines indicate most frequent. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Continue to repeat 10 units subcut and poc blood sugar checks every 1 hour until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin regular sliding scale. This means that the action of humalog mix25 is prolonged. It is difficult to 9obtain optimal control without occasional, mild episodes of hypoglycemia. Humalog mix7525 bid plus metformin versus glargine. Correctional subcutaneous insulin select one insulin aspart novorapid or. Lantus and levemir should be given at the same time of day irrespective of meals. Learn about testing and managing low blood sugar, including possible causes, symptoms, and treatment for low blood sugar hypoglycemia. 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. Canadian agency for drugs and technologies in health 600865 carling avenue, ottawa, ontario, 1s 5s8. Humalog mix, u500 consult area and labs hypoglycemia protocol medications the clinical diabetes journal published an article in the january 2011 edition. Data sources include ibm watson micromedex updated 4 may 2020, cerner multum updated 4 may 2020.
These are one of the newest classes of insulins and work more quickly than the shortacting insulins. If a patient develops hypoglycemia, the sliding scale of lispro insulin should be decreased from insulin resistant to usual scale or from usual to sensitive scale. Sliding scale regimens may include a bedtime high blood sugar correction. Guide to starting and adjusting insulin for type 2. Dec 31, 2017 image result for sliding scale insulin chart dosage. Please read the full indication, the important safety information and the full prescribing information. May be diluted with sterile diluent for humalog, humulin n, humulin 5050, humulin 7030, and nph ilentin to a concentration of 1. Correction insulin, also called sliding scale insulin, is given. Lispro goal blood glucose is provides accurate and independent information on more than 24,000 prescription drugs, overthecounter medicines and natural products. The humalog u100 kwikpen, humalog u100 tempo penand humalog u200 kwikpen each dial in 1 unit incrementsand delivers a maximum dose of 60 units per injection. Correction dose insulin although technically a sliding scale, it will be referred to as correction dosing misc insulin orders e. Correction insulin sliding scale, supplemental, bolus. May be diluted with sterile diluent for humalog, humulin n, humulin 5050, humulin 7030, and nph ilentin to.
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. All insulin available in the united states is manufactured in a laboratory, but. Bg change per unit insulin 1800total insulin daily. Full prescribing information 1 indications and usage humulinru500 is a concentrated human insulin indicated to improve glycemic control in adult and pediatric patientswith diabetes mellitusrequiring more than 200unitsof insulinper day. Humalog mix50 is 50% insulin lispro and 50% insulin lispro. If you choose the wrong one, the results can be very inappropriate. In a typical day, between 2028 units multiple times a day. Adult sliding scale for insulin aspart novolog umc health system. See more ideas about insulin chart, nursing school tips and nursing tips. Historically, sliding scale regular insulin was the issue now rapid acting insulins are a concern. Type 2 diabetes mellitus is a chronic, progressive disease characterized by multiple defects in glucose metabolism, the core of which is insulin resistance in muscle, liver, and adipocytes and. Its time to abandon the sliding scale mdedge family medicine. If you are measuring your body weight in kilograms. Sliding scale insulin refers to a treatment regimen that provides no basal insulin and provides only short acting insulin if needed according to blood glucose test results.
Humalog insulins are insulin lispro, which works more quickly than soluble human insulin because the insulin molecule has been changed slightly. Calculating insulin dose diabetes education online. Do not eat less food because of the high blood sugar. A randomized, doubleblind study with 3way crossover compared human insulin 7030, humalog mix7525, and humalog mix5050 after a standardized breakfast meal 3.
Our insurance company holds all the papers in terms of tests and studies. If your body is sensitive to insulin, you may require a lower. Confirm any single dose of intermediatelong acting insulin over 50 units and any dose over 25 units of short acting insulin and document. Optimizing glucose management in hospitalized patients.
Printable sliding scale insulin chart doctor answers on. Is humalog maybe not the right choice if i need such high dosing. Insulin lispro diluted to u10 or u50 using sterile diluent for humalog may be stored for up to 28 days at 5 degrees c 41 degrees f and for 14 days at 30 degrees c 86 degrees f. There are different types of insulin depending on how quickly they work, when they peak, and how long they last. Im a newly diagnosed lada diabetic, less than a month. Guide to starting and adjusting insulin for type 2 diabetes. Sliding scale regular or humalog insulin uw health.
Humalog mix25 is 25% insulin lispro and 75% insulin lispro protamine sulfate suspension. Image result for sliding scale insulin chart dosage with images. Hi, ive been using lantus and novologmeal time insulin just like humalog with a sliding scale since i found out i have type 1 diabetes and it work well for me. This is a reactive way of managing hyperglycemia and should not be used as the sole means of controlling blood glucose unless absolutely necessary. Im 40, type 1, diagnosed 1990, one lantus shot per day, humalog for meals, with sliding scale adjustment for high which i have to use every day. Registration is fast, simple and absolutely free so please, join our community today to contribute and support the site. Usual doses are small, as they begin working quickly and the patient receives the benefit of the full dose immediately. Blood sugars very bad, lows in 2025 range, highs up to 500600. Consider using a basalbolus and supplemental correction insulin regimen.
I m currently injecting humulin n and humalog insulin using a sliding scale. If your body is very resistant to insulin, you may require a higher dose. You probably will find some beneficial info in this post, come have a glimpse. When using a sliding scale, eat the same amount of carbohydrate at each meal. Humalog is a rapid acting human insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
1190 740 949 1055 183 541 80 215 1496 1239 1027 1451 716 187 149 443 441 1043 1189 1522 793 555 257 1513 33 1172 487 1395 453 481 481 677 1038 452 149 358 1343 1203 587 991 1487 848