Lantus Plus Sliding Scale

The joslin center calculating an initial dose of long acting basal insulin.

Lantus plus sliding scale.

Can lantus be used as a sliding scale with my current insulin of. One of those is lowering my sugar too fast. I thought it was the lantus because there was a time when i would take that first then later eat and take the humalog but i would have these. The recommended starting dose of lantus in patients with type 2 diabetes who are not currently treated with insulin is 0 2 units kg or up to 10 units once daily adjusted to patient s appropriate fpg target.

Lantus insulin glargine a long acting insulin is used for treating type 1 q. In sliding scale insulin therapy the dose is based on your blood sugar level. When our patients are admitted to the hospital they are usually converted to lantus with a sliding scale. Would you please explain how to convert 70 30 insulin coverage to lantus coverage.

One may need to adjust the amount and timing of short or rapid acting insulins and dosages of any oral anti diabetic drugs. Lantus insulin glargine a long acting insulin is used for treating type 1 q. Lantus glargine or levemir detemir or nph insulin a1c greater than 7 with optimal long acting basal insulin. In sliding scale insulin therapy the dose is based on your blood sugar level.

Correction greater than 130 increase long acting basal insulin dose by 2 4 units at bedtime greater. Currently lantus is 45 twice a day humalog is at least 10 units less than i would take before on the sliding scale and i still am having the same issue. Body weight kg x 0 2 if insulin naive. Can lantus be used as a sliding scale with my current insulin of.

Find out how it works and learn about problems with this diabetes. Calculating the appropriate sliding scale instead of using your hospital s predetermined one. 5 of total daily insulin requirement for example someone who requires 20 units of basal insulin should start with a sliding scale. Her body weight is 70 kg bmi 28 5 renal profile within normal limits.

Earlier on she used to be treated with oral hypoglycaemic agents but presently she is on insulin since 2007. 2 4 units of rapid acting or regular insulin sq at each meal base dose 2 or 1 sliding scale depending on sensitivity. Sliding scales are less effective in covering a pre meal high blood sugar because the high blood glucose correction and food bolus cannot be split. Presently i am treating a lady 65 yrs of age suffering from type 2 diabetes for the last 15 yrs.

Find out how it works and learn about problems with this diabetes. And x 0 5 if already on insulin. You still need to count carbohydrates. Sliding scale regular insulin ssi in the management of patients with diabetes was the standard practice as early as 1934 1 and was also used in the hyperglycemic emergency diabetic ketoacidosis 2.