Sharing poses a risk for transmission of bloodborne pathogens. 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. Humalog kwikpens, cartridges, and reusable pens compatible with lilly 3 ml cartridges must never be shared between patients, even if the needle is changed. Do not expose humalog u100 in the pump reservoir to temperatures greater than 98. This document contains side effect information about insulin lispro. Humalog insulin sliding scale how to do sliding scale insulin insulin chart, diabetes medications. Cardiac rhythms cheat sheet you can find cardiac rhythms and more on our website. Humalog administeredby subcutaneous injection should generally be used in regimens with an intermediateor longacting insulin. In slidingscale insulin therapy, the dose is based on your blood sugar level.
Humalog is also used together with oral medications to treat type 2 non insulindependent diabetes in adults. Patients using humalog vials must never share needles or syringes with another person. Calculating insulin dose diabetes education online. Compare common options for insulin therapy mayo clinic. Sliding scale for humalog 7525 basalbolus vs sliding scale insulin in the hospital see more. Side effects requiring immediate medical attention. Do not drive or operate heavy machinery until you know how humalog u100, humalog u200, humalog mix7525, humalog mix5050, or insulin lispro injection affects you. Optimizing glucose management in hospitalized patients using. The humalog u100 kwikpen, humalog u100 tempo penand humalog u200 kwikpen each dial in 1 unit incrementsand delivers a maximum dose of 60 units per injection. Usual doses are small, as they begin working quickly and the patient receives the benefit of the full dose immediately. When prescribing insulin, cross reference on the in patient prescription chart eg insulin as per chart. Sliding scale regular or humalog insulin uw health. I use a sliding scale of humalog at mealtimes and i use 14 units of lantis each evening. Lantis is a 24 cylce insulin or a long acting insulin where humalog is short term or short acting insulin.
Insulin sliding scale, correctional insulin dosing. Humalog is used to treat type 2 diabetes in adults. Find out how it works and learn about problems with this diabetes. Humalog is a rapid acting human insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. This reprint includes information that is not contained within the full prescribing information pi for admelog insulin lispro injection 100 unitsml and is not intended to offer recommendations about admelog that are inconsistent with the pi. Guide to starting and adjusting insulin for type 2. They are usually injected about 10 minutes before mealtime. However, sliding scale insulin ssi administration is regimens are offered low, intermediate, and high intensity, which differ in the quantities of ssi to be administered at given glucose thresholds. Administer 12 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. These are one of the newest classes of insulins and work more quickly than the shortacting insulins. Its portable and can help you inject your mealtime insulin simply and discreetly when youre away from home. Less than 150 mgdl no extra insulin 151 200 units 201 250 units 251 300 units 301 350 units.
This is done about four times a day every five to six hours, or before meals and at bedtime. This page includes the following topics and synonyms. After you use your pen for the first time, you dont have to put it back in the refrigerator. Diluted insulin lispro may be used for 28 days when stored at 5 degrees c 41 degrees f and for 14 days when stored at 30 degrees c 86 degrees f. You will need to work out your specific insulin requirements and dose regimen with your medical provider and diabetes team. Click on the image or right click to open the source website in a new browser window. May be diluted with sterile diluent for humalog, humulin n, humulin 5050, humulin 7030, and nph ilentin to a concentration of 1. 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. Guidelines for inpatient diabetes management these recommendations do not take into account individual patient situations, and do not substitute for clinical judgment. Canadian agency for drugs and technologies in health 600865 carling avenue, ottawa, ontario, 1s 5s8.
Humalog insulin lispro dose, indications, adverse effects. Insulin is usually injected in the fat under your skin using a syringe, insulin pen or insulin pump tubing. Slidingscale and basalbolus insulin regimens are two options available for the treatment of severe or acute hyperglycemia in type 2 diabetes mellitus patients. When using a sliding scale, eat the same amount of carbohydrate at each meal. Diabetes facts 2012 and guidelines 2011 yale school of medicine. Correctional subcutaneous insulin select one insulin aspart novorapid or. Image result for sliding scale insulin chart dosage with.
Historically, sliding scale regular insulin was the issue now rapid acting insulins are a concern. Full prescribing information 1 indications and usage humulinru500 is a concentrated human insulin indicated to improve glycemic control in adult and pediatric patientswith diabetes mellitusrequiring more than 200unitsof insulinper day. Selfmonitoring of blood glucose should be individualized. If a patient develops hypoglycemia, the sliding scale of lispro insulin should be decreased from insulin resistant to usual scale or from usual to sensitive scale. Insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes. Insulin orders for patients with type 2 diabetes order set action fill in required blanks and check appropriate boxes. Humalog junior kwikpen is designed to dial doses in 0.
To download humalog sliding scale pdf, click on the. Diabetic medication and diet instructions for colonoscopy. Sliding scale regimens may include a bedtime high blood sugar correction. Do not transfer humalog u200 from the kwikpen to a syringe for administration. Admelog, humalog insulin lispro dosing, indications.
Completing more than 20,000 ambulatory encounters per year, bdc is the largest outpatient. You probably will find some beneficial info in this post, come have a glimpse. Do not use sliding scale insulin for longterm diabetes management for individuals residing in the nursing home. Guide to starting and adjusting insulin for type 2 diabetes. Sections or subsections omitted from the full prescribing information are not listed. If you use this medication with meal, use it within 15 minutes before or just after you eat. Evaluation of a standardized sliding scale insulin preprinted. Also the emrcs qbank has been uploaded to an online repository. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Adult sliding scale for insulin aspart novolog umc health system.
Continue to repeat 10 units subcut and poc blood sugar checks every 30 minutes until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin aspart sliding scale. Some of the dosage forms listed on this page may not apply to the brand name humalog for the consumer. Patient should selftitrate by increasing the dose by 1 unit every night until fbg target is achieved. Basalbolus vs sliding scale insulin in the hospital insulin chart, nursing. Learn about testing and managing low blood sugar, including possible causes, symptoms, and treatment for low blood sugar hypoglycemia. Correction insulin corrects or lowers high blood sugars before meals. Nov 06, 2019 humalog is used to treat type 2 diabetes in adults. As the nighttime scale only considers the amount of insulin required to drop your blood sugar level back into the target range, it should not be used to cover a bedtime snack.
Correction insulin sliding scale, supplemental, bolus. Sliding scale insulin for medical and nursing students. Jul 27, 2019 insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes. The humalog u100 kwikpen, humalog u100 tempo pen and humalog u200 kwikpen each dial in 1 unit increments and delivers a maximum dose of 60 units per injection. It is difficult to 9obtain optimal control without occasional, mild episodes of hypoglycemia. Barbara davis center serves more than 90% of colorado children diagnosed with type 1 diabetes. The goal of insulin therapy is to keep your blood sugar levels within a target range. Humalog insulin lispro rdna origin and novolog insulin aspart rdna origin injection are forms of insulin, a hormone produced in the body, used to treat type 1 insulindependent diabetes in adults.
Humalog is also used to treat type 1 diabetes in adults and children who are at least 3 years old. The markings on an insulin syringe will not measure the dose correctly and can result in. A study comparing scheduled basal bolus insulin to sliding scale insulin only showed a significantly higher percentage of patients achieving goal glucose levels in the basalbolus group than in the sliding scale only group 66 vs. Along with its needed effects, insulin lispro the active ingredient contained. Correction dose insulin although technically a sliding scale, it will be referred to as correction dosing misc insulin orders e. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 1 hour. Humalog is a fastacting insulin that begins to work very quickly. Sep 25, 2019 humalog sliding scale pdf posted on september 25, 2019 by admin sliding scale therapy approximates daily insulin requirements. Side effects of humalog insulin lispro human analog.
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. Please read the full indication, the important safety information and the full prescribing information. Consider using a basalbolus and supplemental correction insulin regimen. But this just shows you that different people have different needs. Change humalog u100 in the pump reservoir at least every 7 days. Do not dilute or mix humalog u100 when administering by continuous subcutaneous infusion.
Severe hypoglycemia may be life threatening and can cause seizures or death. The patients treated with the basalboluscorrection supplemental program had lower blood glucose at all times of day and had of the major postoperative complications, compared to patients treated with correction insulin alone umpierrez, 2011. Low blood sugar hypoglycemia, is the most common side effect of insulin lispro such as humalog. Novolog dose sliding scale just inspiring chart design template novolog dosage chart fresh 16 best sliding scale insulin crazy red wizard novolog insulin. Hypoglycemia is the most common adverse effect of humalog, insulin lispro injection, humalog mix7525, and humalog mix5050 therapy. Insulin orders for patients with type 2 diabetes order set. Do not drink alcohol or take medicines that contain alcohol while taking humalog u100, humalog u200, humalog mix7525, humalog mix5050, or insulin lispro injection. Sliding scale for humalog 7525 basalbolus vs sliding scale insulin in the hospital see more rhythms cheat sheet you can find cardiac rhythms and more on our website. Diabetes sliding scale chart novolog what is a sliding scale. Humalog mix, u500 consult area and labs hypoglycemia protocol medications the clinical diabetes journal published an article in the january 2011 edition. 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. Basalbolus vs sliding scale insulin in the hospital insulin chart. Please keep in mind, the estimated insulin regimen is an initial best guess and the dose may need to be modified to keep your blood sugar on target. May be diluted with sterile diluent for humalog, humulin n, humulin 5050, humulin 7030, and nph ilentin to a concentration of.
Communication or other orders related to regular insulin sliding scale of blood sugar monitoring. Longacting insulin glarginedetemir or nph, once or twice a day with short acting insulin aspart, glulisine, lispro, regular. Also, there are many variations of insulin therapy. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer. 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. Nov 25, 2019 humalog administered by subcutaneous injection should generally be used in regimens with an intermediate or longacting insulin. Although its use is not recommended, slidingscale insulin therapy is still being used widely. In this video we talk about sliding scale insulin for medical students and nursing students. Patients with renal or hepatic impairment may be at higher risk of hypoglycemia. Capitals indicate lifethreatening, underlines indicate most frequent. Sitagliptin group discontinue oral antidiabetic drugs or lowdose insulin on admission.
Blood sugars very bad, lows in 2025 range, highs up to 500600. 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. Sliding scale insulin chart dosage sliding scale insulin therapy healthline in sliding scale insulin therapy the dose is based on your blood sugar level find out how it works and learn about problems with this diabetes treatment image result for sliding scale insulin chart dosage what is an insulin sliding scale chart an insulin sliding. Change the infusion sets and the infusion set insertion site at least every 3 days. 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.
These images are a random sampling from a bing search on the term insulin sliding scale. So, in todays, article, we are sharing the emrcs question bank with you. Slidingscale versus basalbolus insulin in the management. Humalog, novolog, regular insulin or nph insulin if you use insulin sliding scale, then you may continue using it. Humalog u100 may be diluted with sterile diluent for humalog to a concentration of 1. Type diabetes mellitus consists of an array of dysfunctions characterized by hyperglycemia and resulting from the combination of resistance to insulin action. If a patient is able and expected to eat all, give supplemental lispro insulin before each meal and at bedtime following the usual column. Christa frodella please send us a youtube message for more details. Give supplemental insulin lispro following the sliding scale protocol 1d for blood glucose 140 mgdl.