What is sliding scale ?
Insulin is the foundation of treatment for many people with diabetes. If your diabetic either cant produced your body enough insulin or you cant use insulin efficiently. Insulin is a protein hormone the used as a medication to treat high blood sugar. Insulin includes in diabetes mellitus type-1 and diabetes mellitus type-2 there are two types of insulin diabetes gestational diabetes and complications diabetes.For example:- Diabetic ketoacidosis and hyperosmolar hyperglycemia states.
Insulin for sliding scale
Insulin for sliding scale it is the method of insulin sliding scale dose is bases on your blood sugar level just before your meal. The higher blood sugar is more insulin you take.Insulin for sliding scale therapy has been around since the 1930s. It is use to hospital's and other healthcare facilities. Sliding scale insulin therapy (SSI) it is easy and convenient for the medical staff to administer sliding scale insulin therapy has been controversial in recent years because it is doesn't control blood sugar very well.
How the sliding scale works
The sliding scale is a chart of insulin doses. Insulin sliding scale dose chart a doctor created individual dose chart they base on how the people body respond to insulin their daily activity and carbohydrate in take that they take agree on.
Insulin dose depend on two factor :-
1. Pre-meal blood glucose level:
Insulin sliding scale chart usually appears on the left-hand site on the chart from low to high with high dose of insulin the below of the chart.
The more blood sugar a people has the more insulin they will need.
Mealtime:-
The mealtime usually along the chart of top row. The row will be show on your breakfast, then lunch, and after that dinner.
2. Reading the chart:
Sliding scale reading chart to workout the right dose using sliding scale people follow these steps:-
- Test their blood sugar level
- Find the matching blood glucose value along the chart heft-hand side column
- Horizontally side along the value of row until they reach the current meals.
- Take dose that match the number of two value meal.
Insulin is a hormone
Insulin is a hormone made by the pancreas that allows use your glucose (sugar) from carbohydrates that you eat food for energy and store glucose in the body for future use insulin help your blood sugar level from too high (hyperglycemia) or too low (hypoglycemia) .The cells in your body need sugar energy. Sugar cannot go into most of your cells directly. You take food and after that take food and your blood sugar level rises cells in your body pancreas know as the beta cell. is insulin a hormone are signaled to release insulin into your bloodstreams.
Insulin sliding scale lantus
Insulin sliding scale lantus starting dose of lantus in patient with both diabetes type-1 and type-2.
Insulin sliding scale lantus therapy
Type-1 diabetes:-
Insulin sliding scale patient with type-1 diabetes lantus must be use for concomitantly with short acting insulin. You starting the dose of lantus in patients with type-1 diabetes should be approximately with 75% of the total daily insulin requirement short acting premeals insulin should be use to satisfy the daily insulin requirement.
Type-2 diabetes:-
Insulin sliding scale lantus starting dose of lantus in patient with type-2 diabetes you are not currently treated with insulin is 0.2 units or up to 10 units on daily. You need to adjust the amount and timing of short or rapaid acting insulin and doses of any oral anti diabetes drugs.
Changing to lantus from other insulin therapy
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