Calculating the appropriate sliding scale instead of using your hospital s predetermined one.
Lantus plus sliding scale.
Lantus insulin glargine a long acting insulin is used for treating type 1 q.
Lantus insulin glargine a long acting insulin is used for treating type 1 q.
Presently i am treating a lady 65 yrs of age suffering from type 2 diabetes for the last 15 yrs.
Her body weight is 70 kg bmi 28 5 renal profile within normal limits.
Find out how it works and learn about problems with this diabetes.
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.
Urine albumin creatinine ratio mildly r.
The joslin center calculating an initial dose of long acting basal insulin.
Sliding scale regular insulin ssi in the management of patients with diabetes was the standard practice as early as 1934 1 and was also used in the hyperglycemic emergency diabetic ketoacidosis 2.
Would you please explain how to convert 70 30 insulin coverage to lantus coverage.
Can lantus be used as a sliding scale with my current insulin of.
Body weight kg x 0 2 if insulin naive.
These earlier studies used urine glucose for sliding scale but with demonstration of inaccuracy of urine glucose 3 blood glucose replaced urine glucose for sliding scale in diabetic.
Can lantus be used as a sliding scale with my current insulin of.
The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity.
In sliding scale insulin therapy the dose is based on your blood sugar level.
Lantus glargine or levemir detemir or nph insulin a1c greater than 7 with optimal long acting basal insulin.
One of those is lowering my sugar too fast.
Correction greater than 130 increase long acting basal insulin dose by 2 4 units at bedtime greater.
One may need to adjust the amount and timing of short or rapid acting insulins and dosages of any oral anti diabetic drugs.
You still need to count carbohydrates.
And x 0 5 if already on insulin.
Currently lantus is 45 twice a day humalog is at least 10 units less than i would take before on the sliding scale and i still am having the same issue.
I thought it was the lantus because there was a time when i would take that first then later eat and take the humalog but i would have these.
2 4 units of rapid acting or regular insulin sq at each meal base dose 2 or 1 sliding scale depending on sensitivity.
5 of total daily insulin requirement for example someone who requires 20 units of basal insulin should start with a sliding scale.
Find out how it works and learn about problems with this diabetes.
When our patients are admitted to the hospital they are usually converted to lantus with a sliding scale.
