This includes in diabetes mellitus type 1, diabetes mellitus type 2, gestational diabetes, and complications of diabetes. Other oral medications act in different ways to lower blood sugar levels. Novologmix 7030 is an insulin analog with an earlier onset and intermediate duration of action in comparison to the basal human insulin premix. Humalog insulin sliding scale answers on healthtap. Novolog 70 30 sliding scale chart best picture of chart.
Educational tools eradicating insulin sliding scales. Intensive insulin therapy diabetes education online. Pdf controlling blood sugars with insulin is an important part of managing hyperglycemia in diabetic patients. Novolog insulin aspart dosing, indications, interactions. Sliding scale insulin is extra coverage and usually consists of shortacting insulin like lispro humalog or insulin aspart novolog. Sliding scale insulin administration flashcards quizlet. Insulin sliding scale, correctional insulin dosing. Pdf executive summary and recommendations a diagnosis of diabetes or hyperglycemia. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Adult sliding scale for insulin aspart novolog umc health system. A sliding scale can be used on most patients when only using one insulin type, not two as in your fathers case. It is designed to help control the blood sugar spike that occurs after meals. Patient was educated on sliding scale insulin therapy as follows. If the premeal blood sugar is high, you take higher dose of insulin.
Sliding scale insulin for medical and nursing students types of insulin part 1 duration. Quizlet flashcards, activities and games help you improve your grades. Novolog insulin aspart injection 100 uml is an insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. Novolog is a manmade insulin used to control high blood sugar in adults and children with diabetes mellitus. A supplementary correction sliding scale is also recommended but correction scale. What is the sliding scale range for novolog insulin. Slidingscale insulin therapy home health patient education. The use of sliding scale insulin regimen is discouraged as it only attempts to treat severe or acute hyperglycemia after it has occurred. Guide to starting and adjusting insulin for type 2 diabetes cadth.
Slidingscale versus basalbolus insulin in the management. Stepwise dosing and titration of insulin for type 2 diabetes in the. 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. Novolog mix 7030 can i mix this insulin with novolin r. Choose from 49 different sets of sliding scale insulin flashcards on quizlet. A medical order for adjusting the insulin dose on the basis of blood glucose monitoring andor carbohydrate consumption. Insulin pharmacology, therapeutic regimens, and principles of. 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.
If novolog is mixed with nph insulin, draw novolog into the syringe first and inject immediately after mixing. The 30 in novolog 7030 is shortfast acting 70 intermediateall day and novolog aspart is. Mealtime insulin management what is mealtime insulin. Insulin regular human is used with a proper diet and exercise program to control high blood sugar in people with diabetes. Insulin pens specifically designed for children and adolescents allow for 0. 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. You need to talk with your doctor or see a specialist who deals with diabetes. Postmeal insulin dosing is useful for parents of young children with type 1. Sliding scale insulin ssi is commonly used to manage hospitalized patients with and without diabetes mellitus. Historically, sliding scale regular insulin was the issue now rapid acting insulins are a concern. Stomach, except for the 2inches around the belly button 2. Highlights of prescribing information thiazolidinediones. Novolog mix7030 contains insulin aspart, a rapidacting insulin, mixed with insulin aspart protamine, an intermediateacting insulin.
This page includes the following topics and synonyms. The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Adult sliding scale for insulin aspart novolog blood glucose mgdl low dose moderate dose high dose less than 70 initiate hypoglycemia guidelines initiate hypoglycemia guidelines initiate hypoglycemia guidelines. Novolog flexpen insulin aspart injection 100 unitsml novolog flexpen insulin pen parts. Alternatives to regular insulin aspart, lispro, or glulisine should be. Important safety information do not share your novolog flexpen, novolog flextouch, penfill cartridge or penfill cartridge compatible insulin delivery device with other people, even if the needle has been changed. Management of diabetes mellitus dm vadod clinical practice.
Jun 14, 2016 this pin was discovered by chervalia edwards. Can novolog insulin be used as a sliding scale before meals. Metformin lowers the quantity of glucose that your liver makes and helps your body usage insulin much better. 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 scales should not be the sole form of insulin administration as there is actually no evidence to support their use. It is not intended to be and should not be interpreted as medical. The type of insulin used on a sliding scale is often regular or fastacting, but there are different sliding scale regimens using a variety of insulin to address different diabetic needs. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. The addition of protamine to the rapidacting aspart insulin analog novolog results in insulin activity that is 30% shortacting and 70% longacting. A sliding scale prescription here is an example of a doctors insulin. Novolog may be mixed with nph insulin preparations only. Of the 27 patients with persistent hyperglycemia by the third day of admission, 66.
Insulin lispro and aspart are similar to human insulin on all of the. Sliding scale insulin does not take into account basal insulin needs, diet type and amount, and personal characteristics e. 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. Divide the total carbohydrates by the insulin to carbohydrate ratio. For intensive insulin therapy, this means your insulin tocarbohydrate ratio, blood glucose correction and background dose. Use of a standardized protocol to decrease medication. Insulin is a protein hormone that is used as a medication to treat high blood glucose. Glycemic control in hospitalized patients not in intensive. It is sometimes referred to as supplemental insulin or a. Premeal bolus with rapid acting or regular insulin and with lantus glargine or levemir detemir or nph insulin a1c greater than 7% with optimal long acting basal insulin.
Insulin pens are supplied in boxes of 5 pens each containing 3 ml at 100 units insulin per ml. Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Proper control of diabetes may also lessen your risk of a heart attack or stroke this manmade insulin product is the same as human insulin. Where can i find a diabetic sliding scale chart online.
Novolog continuous subcutaneous infusion route insulin pump do not mix novolog with any other insulin. Top and outside of thighs, except in the bony area close to the knees 3. Sliding scale for lantus novolog 70 30 sliding scale novolog mix 70 30 dosing effective insulin therapy bergenstalnovolog mix 70 30 dosing administration lines for hcpsnovolog mix 70 30 insulinsliding scale novolog insulin chartsliding scale novolog insulin chartnovolog mix 70 30 dosing administration lines for hcpsstandard sliding scale insulin protocol for patients with diabetessliding scale. Many people with type 2 diabetes start medical treatment with metformin tablets. Sliding scale 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. Many people believe that diabetes is a condition that elevates their blood sugar levels. For example 3 units when my sugar is 200 or over up to 5 units up to sugar level 210 etc. Correction insulin sliding scale, supplemental, bolus.
In many hospitals in developing countries, particularly in pakistan, a sliding scale is used to calculate the dose of insulin for the management of diabetes. I lost my chart and need to know how much insulin to take when my sugar is high. It starts working relatively quickly, produces a peak in insulin levels, and then drops off relatively quickly. Insulin, medication errors, riskreduction strategies, sliding scale. Novolog flexpen insulin aspart injection 100 unitsml. 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. 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. This drug might help you lose a small amount of weight. Pdf reducing harm in patients using insulin researchgate. For sliding scale therapy, this refers to premeal dose, bedtime time high blood sugar correction and background dose understand how different insulin.
Umc adult sliding scale insulin orders patient label here insulin sliding scale dose blood glucose mgdl low dose moderate dose high dose insulin to carb ratio on a sliding scale to determine how much insulin to give with a meal. Novolog is contraindicated during episodes of hypoglycemia and in patients hypersensitive to novolog or one of its excipients. Goal blood glucose is insulin regular or ra bg 200249. Learn sliding scale insulin with free interactive flashcards.
Novolog sliding scale insulin chart insulin chart, diabetes. If blood glucose levels are too high, two types of insulin may be used to improve blood glucose. A bolus insulin dose to cover the sugar or carbohydrate in your food this will be presented as an insulin to carbohydrate ratio i. To ensure patients who are discharged with diabetic medication requiring a sliding scale, the correct order must be placed. Longacting insulin helps control blood glucose throughout the day, while rapidacting insulin. Asked 10 jun 2014 by kdew43 updated 10 june 2014 topics novolog, insulin. Cho tells you how many grams of carbohydrate can be covered by one unit of rapid acting insulin. Stepwise dosing and titration of insulin for type 2. In the sliding scale method, the dose of insulin to be taken is based on your blood sugar level, just before your meal. Sliding scale for novolog aspart diabetes type 2 medhelp.
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