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