Sliding Scale Lantus Insulin
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Add up the sliding scale units they received over the last 24 hours.
Sliding scale lantus insulin. Disadvantages of the sliding scale regimen. Chapter 21 adjusting the insulin dosage and thinking scales hours the evening nph or lantus given at it is important to emphasize that sliding. The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity. Dosing depends on the patient s level of insulin resistance.
One may need to adjust the amount and timing of short or rapid acting insulins and dosages of any oral anti diabetic drugs. Read about the benefits drawbacks. For example someone who requires 20 units of basal insulin should start with a sliding scale of 1 unit when glucose 150 200 3 units when 201 249 etc. 2 units bolus insulin.
The goal of insulin therapy is to keep your blood sugar levels within a target range. Chapter 21 adjusting the insulin dosage and thinking scales hours the evening nph or lantus given at it is important to emphasize that sliding. If changing patients from once daily toujeo insulin glargine 300 units ml to once daily lantus the recommended initial lantus dose is 80 of the toujeo dose that is being discontinued. This dose reduction will lower the likelihood of hypoglycemia see warnings and precautions 5 3.
Can lantus be used as a sliding scale with my current insulin of. Pre mixed insulin doses are based on the blood sugar level before the meal. The bolus insulin is based on the blood sugar level before the meal or at bedtime. Assign 50 to long acting insulin and 50 to mealtime insulin.
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. Adjusting insulin on a daily basis. 3 units bolus insulin. 4 units bolus insulin.
The example sliding scales are for regular insulin with blood glucose bg measured in mg dl. The recommended starting dose of lantus in patients with type 2 diabetes who are not currently treated with insulin is 0 2 units kg or up to 10 units once daily adjusted to patient s appropriate fpg target. Lantus insulin glargine a long acting insulin is used for treating type 1 q. Insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes.
Changing to lantus from other insulin therapies. Insulin is usually injected in the fat under your skin using a syringe insulin pen or insulin pump tubing. 1 unit bolus insulin.