Insulin Sliding Scale: Difference between revisions

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{| class="wikitable"
==Overview==
|+Using NPH and regular insulin
*Dosing depends on the patient's level of insulin resistance. The high dose regimen should be reserved for the severely insulin resistant patients.
|-
*The example sliding scales are for regular insulin with blood glucose (BG) measured in mg/dL
!
*Patients with renal insufficiency will excrete insulin at a lower rate and should be started on a lower dosing regimen.
! before breakfast
 
! before lunch
==Low Dose ==
! before dinner
*BG 150-199: 1 unit bolus Insulin
! at bedtime
*BG 200-249: 2 units bolus Insulin
|-
*BG 250-299: 3 units bolus Insulin
| NPH dose
*BG 300-349: 4 units bolus Insulin
| 12 units
*BG Over 350: 5 units bolus Insulin
|
 
| 6 units
==Medium Dose==
|
*BG 150-199: 1 unit bolus Insulin
|-
*BG 200-249: 3 units bolus Insulin
| regular insulin dose if fingerstick <br />glucose is (mg/dl) [mmol/L]:
*BG 250-299: 5 units bolus Insulin
|
*BG 300-349: 7 units bolus Insulin
|
*BG Over 350: 8 units bolus Insulin
|
 
|
==High Dose==
|-
BG 150-199: 2 unit bolus Insulin
|70-100 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[3.9-5.5]
BG 200-249: 4 units bolus Insulin
|4 units
BG 250-299: 7 units bolus Insulin
|
BG 300-349: 10 units bolus Insulin
|4 units
BG Over 350: 12 units bolus Insulin
|
|-
|101-150 &nbsp;&nbsp;&nbsp;&nbsp;[5.6-8.3]
|5 units
|
|5 units
|
|-
|151-200 &nbsp;&nbsp;&nbsp;&nbsp;[8.4-11.1]
|6 units
|
|6 units
|
|-
|201-250 &nbsp;&nbsp;&nbsp;&nbsp;[11.2-13.9]
|7 units
|
|7 units
|
|-
|251-300 &nbsp;&nbsp;&nbsp;&nbsp;[14.0-16.7]
|8 units
|1 unit
|8 units
|1 unit
|-
|>300 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[>16.7]
|9 units
|2 units
|9 units
|2 units
|}


''Using glargine and lispro:'''
*Insulin glargine: 20 units at bedtime
{| class="wikitable"
|+Insulin lispro to be given as follows:
|-
| if fingerstick glucose <br />is (mg/dl) [mmol/L]:
! before breakfast
! before lunch
! before dinner
! at bedtime
|-
| 70-100 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[3.9-5.5]
| 5 units
| 5 units
| 5 units
|
|-
| 101-150 &nbsp;&nbsp;&nbsp;&nbsp;[5.6-8.3]
| 6 units
| 6 units
| 6 units
|
|-
| 151-200 &nbsp;&nbsp;&nbsp;&nbsp;[8.4-11.1]
| 7 units
| 7 units
| 7 units
|
|-
| 201-250 &nbsp;&nbsp;&nbsp;&nbsp;[11.2-13.9]
| 8 units
| 8 units
| 8 units
| 1 unit
|-
| 251-300 &nbsp;&nbsp;&nbsp;&nbsp;[14.0-16.7]
| 9 units
| 9 units
| 9 units
| 2 units
|-
| >300 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[>16.7]
| 10 units
| 10 units
| 10 units
| 3 units
|}


[[Category:Endo]]
[[Category:Endo]]

Revision as of 05:06, 29 April 2014

Overview

  • Dosing depends on the patient's level of insulin resistance. The high dose regimen should be reserved for the severely insulin resistant patients.
  • The example sliding scales are for regular insulin with blood glucose (BG) measured in mg/dL
  • Patients with renal insufficiency will excrete insulin at a lower rate and should be started on a lower dosing regimen.

Low Dose

  • BG 150-199: 1 unit bolus Insulin
  • BG 200-249: 2 units bolus Insulin
  • BG 250-299: 3 units bolus Insulin
  • BG 300-349: 4 units bolus Insulin
  • BG Over 350: 5 units bolus Insulin

Medium Dose

  • BG 150-199: 1 unit bolus Insulin
  • BG 200-249: 3 units bolus Insulin
  • BG 250-299: 5 units bolus Insulin
  • BG 300-349: 7 units bolus Insulin
  • BG Over 350: 8 units bolus Insulin

High Dose

BG 150-199: 2 unit bolus Insulin BG 200-249: 4 units bolus Insulin BG 250-299: 7 units bolus Insulin BG 300-349: 10 units bolus Insulin BG Over 350: 12 units bolus Insulin

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