Pdf slidingscale and basalbolus insulin regimens are two options available for the treatment of. Do not use sliding scale insulin for longterm diabetes management for. Sliding scale insulin refers to a treatment regimen that provides no. This dose reduction will lower the likelihood of hypoglycemia see warnings and precautions 5. Pdf converting continuous insulin infusion to subcutaneous. The adult subcutaneous insulin prescribing chart is to be used as a record of orders and administration of subcutaneous insulin.
Practice guidelines resources american diabetes association. Continue to repeat 10 units subcut and poc blood sugar checks every 30 minutes until blood. The use of variable rate intravenous insulin infusion diabetes uk. Give your patients the lantus injection tips listed below. Lantus is not an insulin that you would use a sliding scale or an evening bg reading to help dose. A total of insulinnaive patients were randomized to receive glargine and glulisine n. Dosing lantus insulin glargine injection 100 unitsml. Apidra is the only mealtime insulin approved for you to take within 15 minutes before or within 20 minutes after starting a meal. Randomized study of basalbolus insulin therapy in the inpatient. Injection guide for lantus solostar pen for your patients.
Lantus glargine or levemir detemir or nph insulin a1c greater than 7% with optimal long acting basal insulin. It is for most folks a 24 hour insulin dose and is not to be used to bring down an elevated bg in a. Have glucose tablets, gels or treatments available at all times. One may need to adjust the amount and timing of short or rapidacting insulins and dosages of any oral antidiabetic drugs. To compare the efficacy and safety of dosing insulin glargine by weight versus. Chapter 21 adjusting the insulin dosage and thinking scales hours, the evening nph or lantus given at it is important to emphasize that sliding. Intravenous insulin infusions stopping sliding scales. Lantus basalpr egimen indications and usage for lantus lantus is a longacting insulin analog indicated to improve glycemic control in adults and children 6 years and older with type 1 diabetes mellitus and in adults with type 2 diabetes mellitus. Lantus, the recommended initial lantus dose is 80% of the toujeo dose that is being discontinued.
A basalprandial dosing option for nonintensive care. Kb data sheet, manual, kb parts, chips, ic, electronic. Longacting insulin glarginedetemir or nph, once or twice a day with short acting insulin aspart, glulisine, lispro. Sliding scale therapy approximates daily insulin requirements. Humalog and aspart novolog, and longacting basal insulin.
Aftermeal blood glucose closer to goals there is a higher risk of low blood glucose if meals are delayed. It is not intended to be and should not be interpreted as medical. Lantus should be administered once a day at the same time every day. Stepwise dosing and titration of insulin for type 2 diabetes in the. Lantus is best given with consistent dosing at 12 hour intervals. We follow either tight regulation tr or start low go slow slgs the details of each can. If changing from a treatment regimen with an intermediate or longacting insulin to a.
The general principles of sliding scale therapy are. The recommended starting dose of lantus in patients with type 2 diabetes who are not currently treated with insulin is 0. The 2020 standards of medical care in diabetes includes all of adas current clinical practice recommendations and is intended to provide clinicians, patients, researchers, payers, and others with. Wwithdrawal of variable rate intravenous insulin infusions stopping. 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. Adult sliding scale for insulin aspart novolog umc health system. For more on injecting with the lantus vial and syringe click here lantus can be administered any time of day.
I took units of lantus yesterday and my blood glucose was 86 mgdl before lunch. Lantus insulin glargine, a longacting insulin is used for treating type 1 q. Stepwise dosing and titration of insulin for type 2. I often wonder how much of an adjustment two units of lantus is. Patients with one or more episodes of severe hypoglycemia i. Joint guideline for the withdrawal of variable rate. If the logic circuits are working and the display is lit. This chart applies to adult patients in acute care inpatient settings only it is. Nsw adult subcutaneous insulin prescribing chart user guide. Educational tools eradicating insulin sliding scales. For more detailed information, download the complete guide to the lantus solostar insulin pen.
Follow the hot side of the power cord, through the switch to the fuse. A total of 54 patients were randomized to receive insulin lm7525 or glargine. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Umc adult sliding scale insulin orders patient label here insulin sliding scale dose blood glucose mgdl low dose moderate dose high dose download lantus clickstar quick manual online.
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