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- You should be prescribed: A “sliding scale” insulin dose The insulin dose is based on your blood sugar. The higher the blood sugar, the higher the insulin dose. – and visa versa. The lower your blood sugar, the loser the insulin dose. Sliding scale insulin regimens approximate daily insulin requirements.
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Jan 1, 2018 · REPLACEMENT. The ADA suggests insulin replacement therapy with basal and rapid-acting prandial (basal-bolus) insulin when the blood glucose level is 300 to 350 mg per dL (16.7 to 19.4 mmol per L)...
Feb 29, 2024 · Katya Rubinow, MD. Literature review current through: Apr 2024. This topic last updated: Feb 29, 2024. INTRODUCTION. Type 2 diabetes is the most common type of diabetes in adults. It is characterized by hyperglycemia and variable degrees of insulin deficiency and resistance.
- Common Sliding Scale Regimens
- The General Principles of Sliding Scale Therapy Are
- Disadvantages of The Sliding Scale Regimen
- Points to Remember!
- Self-Assessment Quiz
Long-acting insulin (glargine/detemir or NPH), once or twice a day with short acting insulin (aspart, glulisine, lispro, Regular) before meals and at bedtimeLong-acting insulin (glargine/detemir or NPH), given once a dayRegular and NPH, given twice a dayPre-mixed, or short-acting insulin analogs or Regular and NPH, given twice a dayThe amount of carbohydrate to be eaten at each meal is pre-set.The basal (background) insulin dose doesn’t change. You take the same long-acting insulin dose no matter what the blood glucose level.The bolus insulin is based on the blood sugar level before the meal or at bedtimePre-mixed insulin doses are based on the blood sugar level before the mealThe sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity.You still need to count carbohydrates.Sliding scales are less effective in covering a pre-meal high blood sugar, because the high blood glucose correction and food bolus cannot be split.Sliding scale regimens may include a bedtime high blood sugar correction. As the nighttime scale only considers the amount of insulin required to drop your blood sugar level back into the target ra...When using a sliding scale, eat the same amount of carbohydrate at each meal. In other words, while the foods may change, the time and the carbohydrate content of the meal should not vary.Engage in an equivalent level of activity from day to day. Try not to vary the timing, type or duration of activity.The sliding scale method may seem easier, because there are fewer calculations. However, to be successful, it requires a strict adherence to a consistent schedule of meals and activity, and followi...Self assessment quizzes are available for topics covered in this website. To find out how much you have learned about Insulin Therapy, take our self assessment quizwhen you have completed this section. The quiz is multiple choice. Please choose the single best answer to each question. At the end of the quiz, your score will display. If your score i...
Feb 20, 2023 · Intensive insulin treatment requires multiple injections of insulin per day or the use of an insulin pump. It also requires measuring blood sugar levels several times a day, with adjustment of pre-meal insulin dosing based on the size and carbohydrate content of the meal.
For Sliding Scale Therapy. You should be prescribed: A “sliding scale” insulin dose. The insulin dose is based on your blood sugar. The higher the blood sugar, the higher the insulin dose. – and visa versa.
Apr 5, 2019 · Reading the chart. To work out the right dosage using a sliding scale, people should follow these steps: 1. Test their blood glucose level. 2. Find the matching blood glucose value along the...
Sep 20, 2019 · The 13-item DBII scale is appropriately short and possesses satisfactory validity and reliability for both insulin-naive and insulin-treated patients with T2DM. Healthcare providers may use this scale as a checklist to guide clinical discussions related to insulin therapy with both insulin-naive and insulin-treated patients with T2DM across time.
