If you use this medication with meal, use it within 15 minutes before or just after you eat. Formulas commonly used to create insulin dose recommendations this example illustrates a method for calculating of your backgroundbasal and bolus doses and estimated daily insulin dose when you need full insulin replacement. 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. Humalog is usually given together with another longacting insulin. Learn sliding scale insulin with free interactive flashcards. This is done about four times a day every five to six hours, or before meals and at bedtime. Abiding humalog insulin sliding scale how to do sliding scale insulin. Humalog u100 may be mixed with nph insulin preparations.
Some people also take it if blood sugars are high at bedtime. Correctional subcutaneous insulin select one insulin aspart novorapid or. Side effects of humalog insulin lispro human analog. Insulin is a protein hormone that is used as a medication to treat high blood glucose.
But this just shows you that different people have different needs. Formulas commonly used to create insulin dose recommendations this example illustrates a method for calculating of your backgroundbasal and bolus doses and estimated daily insulin. Inject humalog u100, humalog u200, or insulin lispro injection within fifteen minutes before or right after eating a meal. Humalog insulin lispro injection,for subcutaneous or intravenous use initial u. Changes in insulin strength, manufacturer, type, or method of administration may result in the need for a change in insulin dose or an adjustment in concomitant oral antidiabetic treatment. This page includes the following topics and synonyms. Humalog sliding scale pdf sliding scale therapy approximates daily insulin requirements.
Blood sugars very bad, lows in 2025 range, highs up to 500600. Humalog is a rapid acting human insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. Monitor blood glucose in all patients treated with insulin. 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. Find info about humalog, the fastacting mealtime insulin. Inject your insulin under your skin subcutaneously. Sliding scale regular or humalog insulin uw health. Choose from 49 different sets of sliding scale insulin flashcards on quizlet. Umc health system patient label here sliding scale insulin. Modify insulin regimens cautiously and only under medical supervision. Sliding scale insulin refers to a treatment regimen that provides no basal insulin and provides only.
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. Humalog is also used to treat type 1 diabetes in adults and children who are at least 3 years old. In clinical trials, pruritus with or without rash was seen in 17 patients receiving human insulin n2969 and 30 patients receiving insulin lispro the active ingredient contained in humalog n2944. Sliding scales are less effective in covering a premeal high blood sugar, because the high blood glucose correction and food bolus cannot be split. This includes in diabetes mellitus type 1, diabetes mellitus type 2, gestational diabetes, and complications of diabetes such as diabetic ketoacidosis and hyperosmolar hyperglycemic states. Some of the dosage forms listed on this page may not apply to the brand name humalog for the consumer. Inject humalog mix7525 or humalog mix5050 within fifteen minutes before you eat a meal. Explain to patient that this medication controls hyperglycemia but does not cure diabetes. No i have not had that experience with humalog in fact it works very well for me.
Goal blood glucose is insulin regular or ra bg 200249. Take humalog insulin sliding scale chart 10 units of humalog before meals and. When mixing insulins, draw regular insulin into syringe. 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. Type 2 diabetes mellitus is a chronic, progressive disease characterized by multiple defects in glucose metabolism, the core of which is insulin resistance in muscle, liver, and adipocytes and. I use a sliding scale of humalog at mealtimes and i use 14 units of lantis each evening. Bg change per unit insulin 1800total insulin daily. 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. Humaloginsulin lispro injection,for subcutaneous or intravenous use initial u. Order order details 010 units, subcut, inj, q6h, prn glucose levels see parameters low dose insulin regular sliding scale. Some experts say that slidingscale insulin therapy should be phased out completely. Correction insulin corrects or lowers high blood sugars before meals. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer.
Nov 23, 2019 generalized allergy to insulin may present as a whole body rash, dyspnea, wheezing, hypotension, tachycardia, or diaphoresis. A chart that compares how blood sugar levels rise after meals. It is also used along with glucose to treat high blood potassium levels. Select type of insulin and indicate dose see reverse for guidelines. Insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes. Longacting insulin glarginedetemir or nph, once or twice a day with short acting insulin aspart, glulisine, lispro, regular. Communication or other orders related to regular insulin sliding scale of blood sugar monitoring. Humalog insulin lispro injection is used to treat people with diabetes for the control of blood sugar. Insulin sliding scale, correctional insulin dosing. Umc health system patient label here sliding scale. Lispro goal blood glucose is 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.
I take my insulin in the am pm, i was on humalog with meals 20 units and. More commonly, the sliding scale is used to determine the dose of rapid or shortacting insulin administered prior to meals, based on the preprandial blood glucose reading andor the expected caloric or carbohydrate intake. The total lunch insulin dose is 8 units of rapid acting insulin. This document contains side effect information about insulin lispro. Humalog mix7525 bid plus metformin versus glargine. Insulin pens appear similar to one another despite containing different insulins. Insulin sliding scale with images insulin chart, diabetes. Humalog is a fastacting insulin that begins to work very quickly. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. The dose of basal insulinia longacting or twiceaday intermediateacting insuliniis sometimes given on a sliding scale. While slidingscale use of subcutaneous insulin has long been a. Side effects requiring immediate medical attention.
Also giving a sliding scale for her bolus, humalog is an outdated way of dosing. Insulin pens are supplied in boxes of 5 pens each containing 3 ml at 100 units insulin per ml. Insulin glulisine apidra, insulin lispro admelog, humalog, and insulin aspart fiasp, novolog regular or shortacting insulin usually reaches the bloodstream within 30 minutes after injection, peaks anywhere from 2 to 3 hours after injection, and is effective for approximately 3 to 6 hours. It is difficult to 9obtain optimal control without occasional, mild episodes of hypoglycemia. Insulin is usually injected in the fat under your skin using a syringe, insulin pen or insulin pump tubing. Jun 19, 2017 humalog insulin lispro rdna origin injection is a hormone that is produced in the body used to treat type 1 insulin dependent diabetes in adults.
Adult sliding scale for insulin aspart novolog umc health system. Fastacting insulin also called rapidacting is absorbed quickly and starts working in about 15 minutes to lower blood sugar after meals. Insulin is usually injected in the fat under your skin. Some drugs can also cause you to have fewer symptoms of hypoglycemia, making it harder to tell when your blood sugar is low. Humalog is used to treat type 2 diabetes in adults. Lantis is a 24 cylce insulin or a long acting insulin where humalog is short term or short acting insulin. Its time to abandon the sliding scale mdedge family medicine. Humalog fastacting insulin should be taken 15 minutes before eating or right after eating a meal. Calculating insulin dose diabetes education online. Demonstrate technique for mixing insulins by drawing up insulin lispro. If humalog u100 is mixed with nph insulin, humalog u100 should be drawn into the syringe first. Umc health system patient label here sliding scale insulin regular plan physician orders place an x in the orders column to designate orders of choice and an x in the specific order detail boxes where applicable. Guide to starting and adjusting insulin for type 2 diabetes. The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity.
We would like to show you a description here but the site wont allow us. Humalog is also used together with oral medications to treat type 2 non insulin dependent diabetes in adults. The unit markings on the insulin syringe must match the insulins unitsml. Do not drink alcohol or take medicines that contain alcohol while taking humalog u100, humalog u200, humalog mix7525, humalog mix5050, or insulin lispro injection. First described in 1934, what physicians typically refer to as sliding scale insulin ssi is fast or rapidacting insulin only, given subcutaneously, typically at meal times and sometimes bedtime, but only when blood glucose is above a threshold e. The exception is regular, which has an onset of about 30 minutes. For example, if your breakfast carb ecale insulin ratio is reassess use of sliding scale insulin every 72 hours. Humalog mix7525 improved fasting blood glucose fbg and postprandial glucose ppg control 3.
Depending on the type of diabetes you have, you may need to take humalog with a longeracting insulin or. Humalog u100 continuous subcutaneous infusion route insulin pump do not mix. Dec 25, 2019 for example, if your breakfast carb ecale insulin ratio is reassess use of sliding scale insulin every 72 hours. Humalog insulin lispro rdna origin injection is a hormone that is produced in the body used to treat type 1 insulindependent diabetes in adults. Consider using a basalbolus and supplemental correction insulin regimen. Jan 01, 2018 type 2 diabetes mellitus is a chronic, progressive disease characterized by multiple defects in glucose metabolism, the core of which is insulin resistance in muscle, liver, and adipocytes and. I would suggest you take your daughter to an endo and ask to have her placed on the more up to date treatment regimen of a longacting basal, which would be either lantus or levemir. Humalog insulin lispro is a prescription injection used for type 1 and type 2 diabetes. Prior to withdrawing dose, rotate vial between palms to ensure uniform solution. Humalog is also used together with oral medications to treat type 2 non insulindependent diabetes in adults. See more ideas about insulin chart, nursing school tips, nursing notes. Along with its needed effects, insulin lispro the active ingredient contained in humalog may cause some unwanted.
The goal of insulin therapy is to keep your blood sugar levels within a target range. Lispro humalog aspart novolog glulisine apidra add prandial insulin to basal insulin if postmeal blood glucose levels are above goal. Compare common options for insulin therapy mayo clinic. Changes in insulin strength, manufacturer, type, or method of administration may result in the need for a change in insulin dose or an adjustment in. While sliding scale use of subcutaneous insulin has long been a. A randomized, doubleblind study with 3way crossover compared human insulin 7030, humalog mix7525, and humalog mix5050 after a standardized breakfast meal 3.
1087 475 213 551 1205 1308 319 30 487 786 1492 1225 238 354 727 792 555 1036 753 368 362 1403 1390 1378 1129 1452 1420 583 1107 1213 1413 517 1325