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  1. Jan 1, 2018 · Do not use sliding scale insulin for long-term diabetes management for individuals residing in the nursing home. American Medical Directors Associa Concerns About Insulin Therapy

    • can you stop hrt if you're on a low dose insulin sliding scale1
    • can you stop hrt if you're on a low dose insulin sliding scale2
    • can you stop hrt if you're on a low dose insulin sliding scale3
    • can you stop hrt if you're on a low dose insulin sliding scale4
    • can you stop hrt if you're on a low dose insulin sliding scale5
    • Overview
    • Why might someone want to stop HRT?
    • What happens if you stop HRT suddenly?
    • How to stop HRT safely
    • Are there withdrawal symptoms?
    • How long can someone take HRT?
    • Frequently asked questions
    • Summary

    If people decide to stop taking hormone replacement therapy (HRT), they should reduce the dosage gradually. Stopping abruptly may cause a return of menopause symptoms, such as hot flashes and disrupted sleep.

    People may wish to stop taking HRT if they have been taking it for a long time, if their menopause symptoms are reducing as they get older, or for other health reasons.

    Doctors advise taking HRT for the shortest time possible. This is because HRT may increase the risk of certain health problems with long-term use.

    According to the United Kingdom’s National Health Service (NHS), there is no set time for how long people can take HRT. People may take HRT for 2–5 years to treat menopausal symptoms, such as hot flashes, or sometimes longer.

    People may also stop taking HRT because they experience a decrease in their menopausal symptoms, which happens as people get older. People may decide the risks of HRT begin to outweigh the benefits. Additionally, the risks of HRT may increase as people get older, particularly for people over the age of 60.

    People may also need to stop taking HRT due to certain health conditions, such as breast cancer. HRT may increase the risk of breast cancer, so experts advise people to stop taking HRT if they have breast cancer.

    A 2018 article examined reasons for discontinuing HRT and included 825 telephone surveys with females using HRT in South China.

    The survey found that people started HRT to manage menopausal symptoms, and reasons for discontinuing HRT included:

    Stopping HRT suddenly may cause temporary withdrawal symptoms, in which people will experience menopausal symptoms.

    People may experience both natural and medical menopause or “cold turkey” menopause if they stop HRT abruptly. This is due to the rapid drop in estrogen.

    If people choose to stop HRT, experts usually recommend coming off the medication slowly.

    People can do this by gradually reducing the estrogen dosage every few days over several weeks. It may be best to taper off HRT over 3–6 months.

    People may experience a temporary return of some menopausal symptoms when they stop taking HRT, although this may be less likely to happen if people reduce the dosage in stages.

    If symptoms return and persist for more than 3 months, people can speak with a doctor. A doctor may recommend going back on a low dose of HRT to manage symptoms or they may recommend other treatments.

    According to the North American Menopause Society, the recommended length of time for taking combined estrogen and progestogen HRT is usually 5 years or less, although this can vary.

    The risk of breast cancer may increase if people take estrogen and progestogen HRT continuously for 5 or more years.

    How long does it take for HRT to leave your system after stopping?

    The amount of time it takes for HRT to leave the body may depend on the type of HRT people take and the method they use. There is a lack of research, though, into how long HRT stays in the system once a person stops using it. One 2019 study looked at the effects of HRT containing estriol in the form of vaginal rings. Estriol levels in the blood increased rapidly with the treatment and then, quickly decreased. There was a continuous decrease in estriol levels after around 6 days.

    Will I lose weight if I stop HRT?

    There is little evidence to suggest stopping HRT will make people lose weight. A 2023 systematic review found taking HRT is not likely to cause significant weight changes during or after menopause. Weight changes may occur in relation to getting older or menopause, but this may happen regardless of taking HRT. Ways to help manage weight include getting regular exercise and eating a balanced diet.

    People may decide to stop hormone replacement therapy after being on the medication for a certain length of time, once they reach a certain age, or once their menopausal symptoms start easing.

    Some health conditions, such as breast cancer, may also require people to stop taking HRT.

    Gradually reducing the dosage of HRT, instead of stopping abruptly, may help prevent withdrawal symptoms.

    If people want to stop taking HRT, they can talk with a doctor about the best way to do it safely.

    • Beth Sissons
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  3. Apr 5, 2019 · Sliding scale insulin therapy is one way a person with diabetes can work out how much insulin to take before a meal without causing negative effects on the body. Read about the benefits, drawbacks ...

  4. Feb 14, 2024 · Correction factor: Pros: Individualized and more specific to actual glucose number. Used proactively usually with mealtime insulin to avoid trying to chase blood glucose levels later. Cons: More risk of hypoglycemia with mealtime insulin. It can be more confusing to dose due to a greater level of calculation and human error.

    • Harms of Uncontrolled Blood Glucose. Uncontrolled blood glucose levels in hospitalized patients with diabetes are associated with potential harms such as deleterious effects on wound healing, increased risk of infection, and delays in surgical procedures or discharge from the hospital (Table 1 ).
    • Glycemic Targets. Over the past two decades, the desired targets for inpatient glucose management have changed.4 With hyperglycemia defined as blood glucose levels greater than 140 mg per dL (7.8 mmol per L), target inpatient blood glucose goals of 80 to 110 mg per dL (4.4 to 6.1 mmol per L) were previously thought to reduce complications, improve wound healing and infectious disease recovery, and decrease length of hospitalization.
    • Barriers to Achieving Glycemic Control. Although the benefits of adequate glycemic control in hospitalized patients with diabetes are well established, a number of barriers can prevent achievement of blood glucose goals.
    • Oral Diabetes Medications. Some experts and guidelines recommend stopping oral diabetes medications while patients are hospitalized. In particular, these guidelines recommend stopping metformin at the time of admission because of inpatient factors that can increase the risk of renal or hepatic failure.
  5. Aug 6, 2021 · Low dose: For highly insulin-sensitive patients. Moderate dose: For patients with normal insulin sensitivity. High dose: For highly insulin-resistant patients. Less than 70. Follow...

  6. Common sliding scale regimens: Long-acting insulin (glargine/detemir or NPH), once or twice a day with short acting insulin (aspart, glulisine, lispro, Regular) before meals and at bedtime. Long-acting insulin (glargine/detemir or NPH), given once a day. Regular and NPH, given twice a day.

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  2. Did You Know That Menopausal HRT Is Safe, Effective, & Can Improve Women's Overall Health? There's No Reason To Go Through Menopause Alone. At Alloy, We Got You. Get Relief Now!

  3. Get Information About the Stages of T1D & the Importance of Testing Early to Prepare. Discover a Personalized Patient Support Program to Help With Your T1D Journey.

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