Insulin Sliding Scale

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