Use of a standardized protocol to decrease medication errors. Sliding scale insulin ssi is commonly used to manage hospitalized patients with and without diabetes mellitus. Sep 27, 2017 to create an insulin sliding scale, calculate your patients insulin sensitivity factor. What is the sliding scale range for novolog insulin. Some other treatment options are also readily available. Do not use sliding scale insulin for longterm diabetes management for individuals. The 30 in novolog 7030 is shortfast acting 70 intermediateall day and novolog aspart is entirely shortfast acting. Less than 150 mgdl no extra insulin 151 200 units 201 250 units 251 300 units 301 350 units.
If the premeal blood sugar is high, you take higher dose of insulin. The 30 in novolog 7030 is shortfast acting 70 intermediateall day and novolog aspart is. Levemir insulin detemir dosing, indications, interactions. The novolog flexpen and flextouch dial in 1unit increments. Highlights of prescribing information thiazolidinediones. Lispro goal blood glucose is provides accurate and independent information on more than 24,000 prescription drugs, overthecounter medicines and natural products. 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. Counting carbs and dosing sliding scale novolog things.
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. See more ideas about insulin chart, nursing school tips, nursing study. Insulin aspart novolog slidding scale, very resistanthigh for blood glucose sliding scale comments 60149. 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. 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. 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. Educational tools eradicating insulin sliding scales. 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. Insulin pens are supplied in boxes of 5 pens each containing 3 ml at 100 units insulin per ml. Novolog dose sliding scale just inspiring chart design template novolog dosage chart fresh 16 best sliding scale insulin crazy red wizard novolog insulin. I lost my chart and need to know how much insulin to take when my sugar is high. Novolog official physician website novolog insulin.
Can i replace the lantus insulin glargine n novolog w. Glycemic control in hospitalized patients not in intensive. Insulin diluting medium for novolog water injection. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Printable sliding scale insulin chart doctor answers on. Where can i find a diabetic sliding scale chart online. This is done about four times a day every five to six hours, or before meals and at bedtime. Divide the total carbohydrates by the insulin to carbohydrate ratio. For example 3 units when my sugar is 200 or over up.
Although its use is not recommended, sliding scale insulin therapy is still being used widely. Patient was educated on slidingscale insulin therapy as follows. Doctors give trusted answers on uses, effects, sideeffects, and cautions. That is the insulin you take if your blood sugar is high when you check it. Novolog insulin aspart injection 100 uml is an insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus.
Sliding scale insulin refers to a treatment regimen that provides no basal 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. Diabetes medications chart, diabetes mellitus, types of diabetes, prevent diabetes, diabetes. Novolog insulin aspart dosing, indications, interactions. Im on metformin, lantus insulin glargine n novolog.
If blood glucose levels are too high, two types of insulin may be used to improve blood glucose. Medscape diabetes dosing for humulin r, novolin r insulin regular human, frequencybased adverse effects, comprehensive interactions, contraindications. Bg change per unit insulin 1800total insulin daily. Sliding scale insulin ssi, a treatment regimen that has been around since the. Can i replace the lantus insulin glargine n novolog w byetta to help w weight gain n still get the same. 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. Many people believe that diabetes is a condition that elevates their blood sugar levels. This is another example of an ambiguous cover order for slidingscale insulin. The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. Jun 10, 2014 a sliding scale is for what we call coverage.
A sliding scale can be used on most patients when only using one insulin type, not two as in your fathers case. Novolog administered by subcutaneous injection should generally be used in regimens with an intermediate or longacting insulin. Novolog 10 units with each meal plus sliding scale. This includes in diabetes mellitus type 1, diabetes mellitus type 2, gestational diabetes, and complications of diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve. Divide the total carbohydrates by the insulin to carbohydrate. Historically, sliding scale regular insulin was the issue now rapid acting insulins are a concern. Sliding scale insulin refers to a treatment regimen that provides no basal insulin and provides only short.
Learn sliding scale insulin with free interactive flashcards. It is not known if novolog mix 7030 is safe or effective in children. 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. Plus lantus 23 units each night at bedtime plus1 unit extra each night. Clinical guideline for the use of intravenous sliding. Continue to repeat 10 units subcut and poc blood sugar checks. Novolog sliding scale insulin chart insulin chart, diabetes. Apr 05, 2019 sliding scale insulin therapy involves creating and following an individual chart. For intensive insulin therapy, this means your insulin tocarbohydrate ratio, blood glucose correction and background dose. May 01, 2010 the sliding scale for insulin dosage that is based on levels of glycosuria was introduced in 1934,10 and the technique was gradually adapted to blood glucose measurements. Correction insulin corrects or lowers high blood sugars before meals.
Goal blood glucose is for example above, 1 unit to drop bg 50 mgdl. Slidingscale versus basalbolus insulin in the management. This is another example of an ambiguous cover order for sliding scale insulin. Important safety information do not share your novolog mix 7030 flexpen with other people, even if the needle has been changed. 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. Slidingscale versus basalbolus insulin in the management of.
It is designed to help control the blood sugar spike that occurs after meals. Insulin pens appear similar to one another despite containing different insulins. Evaluation of a standardized sliding scale insulin. 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 insulin therapy involves creating and following an individual chart. Novolog mix7030 contains insulin aspart, a rapidacting insulin, mixed with insulin aspart protamine, an intermediateacting insulin. 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. Aimpurpose of this guideline this guideline is for the management of for the management of adult. When diabetes isnt diagnosed and treated early on, it can wreak havoc on the. 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. Continue to repeat 10 units subcut and poc blood until blood glucose is less.
The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity. Correction insulin sliding scale, supplemental, bolus. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer. Get the rmh preprinted physician orders diabetes mellitus sliding. Use of a standardized protocol to decrease medication. Minich on counting carbs and dosing sliding scale novolog. Slidingscale insulin regimens when administered alone were associated with a threefold higher risk treatment of type 2 diabetes mellitus in the older patient view in chinese administered immediately. Quizlet flashcards, activities and games help you improve your grades.
Outline the differences between sliding scale insulin and basal bolus insulin. To create an insulin sliding scale, calculate your patients insulin sensitivity factor. Novolog is an insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. Adult sliding scale for insulin aspart novolog umc health system. 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. Can novolog insulin be used as a sliding scale before meals. Once the order is placed, the sliding scale will appear on the avs.
Calculate insulin dose for food add up all the carbohydrates in your meal. Sliding scale for novolog aspart diabetes type 2 medhelp. Novolog may be mixed with nph insulin preparations only. Novolog continuous subcutaneous infusion route insulin pump do not mix novolog with any other insulin. Aug 04, 2009 it starts working relatively quickly, produces a peak in insulin levels, and then drops off relatively quickly. In the slidingscale method, the dose of insulin to be taken is based on your blood sugar level, just before your meal. Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. In this therapy model, blood sugar is taken about four times.
Humulin r, novolin r insulin regular human dosing, indications. Choose from 49 different sets of sliding scale insulin flashcards on quizlet. Novolog is contraindicated during episodes of hypoglycemia and in patients hypersensitive to novolog or one of its excipients. Do not use the cartridge scale printed on the cartridge to measure your dose of. Slidingscale insulin therapy home health patient education.
A standardized insulin sliding scale program was implemented as an option to the medical staff. A recommended sliding scale is on the back of the nsw adult subcutaneous insulin prescribing chart. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease. Guidelines for insulin management for adult diabetics with. Taking insulin on a sliding scale means the size of an insulin dose depends on a persons current glucose reading. Jun 14, 2016 this pin was discovered by chervalia edwards. It is not intended to be and should not be interpreted as medical. Each presentation contains 100 units of insulin aspart per ml. Novolog may be diluted with insulin diluting medium for novolog for subcutaneous injection. Longacting insulin helps control blood glucose throughout the day, while rapidacting insulin manages levels at meal time. Slidingscale insulin regimens when administered alone were associated with a threefold higher risk treatment of type 2 diabetes mellitus in the older patient view in chinese administered immediately after a meal to better match the meal size and minimize hypoglycemia. Insulin regular human is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Avoiding medication errors with insulin therapy scherer clinical. Slidingscale and basalbolus insulin regimens are two options available for the treatment of severe or acute hyperglycemia in type 2 diabetes mellitus patients.
It starts working relatively quickly, produces a peak in insulin levels, and then drops off relatively quickly. The number of prescribed insulin units slides up as your blood sugar level rises. Communication or other orders related to regular insulin sliding scale of blood sugar monitoring. Insulin pens specifically designed for children and adolescents allow for 0. If novolog is mixed with nph insulin, draw novolog into the syringe first and inject immediately after mixing. Mealtime insulin management what is mealtime insulin. Novolog mix 7030 can i mix this insulin with novolin r. To ensure patients who are discharged with diabetic medication requiring a sliding scale, the correct order must be placed. Sliding scale insulin administration flashcards quizlet. For intensive insulin therapy, this means your insulintocarbohydrate ratio, blood glucose correction and background dose. Insulin is a protein hormone that is used as a medication to treat high blood glucose.
Diabetes mellitus sliding scale insulin finger stick blood glucose sliding scale insulin before meals and at bedtime every 6 hours twice daily novolog insulin sliding. Novolog mix 7030 is a manmade insulin used to control high blood sugar in adults with diabetes mellitus. 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. For sliding scale therapy, this refers to premeal dose, bedtime time high blood. Increases in anti insulin antibodies are observed more frequently with novolog than with regular human insulin. A dosing accuracy audit and a survey of the medical and nursing professional staff were performed. The second line is an order for novolog to be given with meals, which was written as. Novolog administered by subcutaneous injection should generally be used in regimens with an intermediate or longacting. Sliding scales are less effective in covering a premeal high blood sugar, because the high blood glucose correction and food bolus cannot be split.1094 866 1260 1099 1208 638 841 1291 959 1155 41 627 1247 1 628 1271 365 227 1563 1113 952 226 998 749 636 578 125 416 1206 339 1026 712