Insulin: Difference between revisions
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==Insulin Sliding Scale== | ==Insulin Sliding Scale== | ||
*Dosing depends on the patient's level of insulin resistance | *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 | ||
===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 | ||
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*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 | ||
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*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 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