Insulin: Difference between revisions

No edit summary
Line 82: Line 82:


==Insulin Sliding Scale==
==Insulin Sliding Scale==
*Dosing depends on the patient's level of insulin resistance. The high dose regimen should be reserved for the severely insulin resistant patients.
*Dosing depends on the patient's level of insulin resistance.  
*The example sliding scales are for regular insulin with blood glucose (BG) measured in mg/dL
*The example sliding scales are for regular insulin with blood glucose (BG) measured in mg/dL
*Patients with renal insufficiency will excrete insulin at a lower rate and should be started on a lower dosing regimen.


===Low Dose ===
===Low Dose (Renal Insufficiency)===
*BG 150-199: 1 unit bolus Insulin  
*BG 150-199: 1 unit bolus Insulin  
*BG 200-249: 2 units bolus Insulin
*BG 200-249: 2 units bolus Insulin
Line 93: Line 92:
*BG Over 350: 5 units bolus Insulin
*BG Over 350: 5 units bolus Insulin


===Medium Dose===
===Medium Dose (Standard)===
*BG 150-199: 1 unit bolus Insulin  
*BG 150-199: 1 unit bolus Insulin  
*BG 200-249: 3 units bolus Insulin
*BG 200-249: 3 units bolus Insulin
Line 100: Line 99:
*BG Over 350: 8 units bolus Insulin
*BG Over 350: 8 units bolus Insulin


===High Dose===
===High Dose (Severely Insulin Resistant)===
*BG 150-199: 2 unit bolus Insulin
*BG 150-199: 2 unit bolus Insulin
*BG 200-249: 4 units bolus Insulin
*BG 200-249: 4 units bolus Insulin

Revision as of 18:11, 29 April 2014

Types

Type Onset of action (h) Peak action Effective duration Max duration
RAPID ACTING

Lispro

(humalog)

0.25-0.5
0.5-1.25 3-4 4-6

Aspart

(novolog)

0.25-0.5
0.5-1.25 3-4 4-6

Glulisine

(apidra)

0.25-0.5 0.25-1.25
3-4 4-6
SHORT ACTING
Regular 0.5-1 2-3 3-6 6-8
INTERMEDIATE ACTING
NPH 2-4 6-10 10-16 14-18
LONG ACTING

glargine

(Lantus)

3-4 8-16 18-20 20-24

detemir

(Levemir)

3-4 6-8 14 ~20
Insulin.jpg

Insulin Sliding Scale

  • Dosing depends on the patient's level of insulin resistance.
  • The example sliding scales are for regular insulin with blood glucose (BG) measured in mg/dL

Low Dose (Renal Insufficiency)

  • BG 150-199: 1 unit bolus Insulin
  • BG 200-249: 2 units bolus Insulin
  • BG 250-299: 3 units bolus Insulin
  • BG 300-349: 4 units bolus Insulin
  • BG Over 350: 5 units bolus Insulin

Medium Dose (Standard)

  • BG 150-199: 1 unit bolus Insulin
  • BG 200-249: 3 units bolus Insulin
  • BG 250-299: 5 units bolus Insulin
  • BG 300-349: 7 units bolus Insulin
  • BG Over 350: 8 units bolus Insulin

High Dose (Severely Insulin Resistant)

  • BG 150-199: 2 unit bolus Insulin
  • BG 200-249: 4 units bolus Insulin
  • BG 250-299: 7 units bolus Insulin
  • BG 300-349: 10 units bolus Insulin
  • BG Over 350: 12 units bolus Insulin

See Also