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. 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. Adult sliding scale for insulin aspart novolog umc health system. Humalog is also used to treat type 1 diabetes in adults and children who are at least 3 years old. Humalog insulin lispro is a prescription injection used for type 1 and type 2 diabetes. 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. Inject humalog u100, humalog u200, or insulin lispro injection within fifteen minutes before or right after eating a meal.
Blood sugars very bad, lows in 2025 range, highs up to 500600. Insulin sliding scale dose blood sugar low dose moderate dose high dose 60 110 no insulin no insulin no insulin 111 150 2 units 4 units 6 units 151 200 4 units 8 units 10 units 201 250 6 units 10 units 12 units 251 300 8 units 12 units 15 units 301 350 10 units 14 units 18 units. Humalog u100 may be mixed with nph insulin preparations. If you use this medication with meal, use it within 15 minutes before or just after you eat. Insulin sliding scale with images insulin chart, diabetes. Side effects requiring immediate medical attention. 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. Modify insulin regimens cautiously and only under medical supervision.
Insulin sliding scale, correctional insulin dosing. Apr 08, 2019 humalog sliding scale pdf sliding scale therapy approximates daily insulin requirements. 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. Humalog is a rapid acting human insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. Communication or other orders related to regular insulin sliding scale of blood sugar monitoring. Correction insulin corrects or lowers high blood sugars before meals. 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.
But this just shows you that different people have different needs. 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. The dose of basal insulinia longacting or twiceaday intermediateacting insuliniis sometimes given on a sliding scale. Humaloginsulin lispro injection,for subcutaneous or intravenous use initial u. The goal of insulin therapy is to keep your blood sugar levels within a target range. This document contains side effect information about insulin lispro. Side effects of humalog insulin lispro human analog. Goal blood glucose is insulin regular or ra bg 200249. 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. Humalog sliding scale pdf sliding scale therapy approximates daily insulin requirements. Humalog is also used together with oral medications to treat type 2 non insulindependent diabetes in adults.
Some people also take it if blood sugars are high at bedtime. For example, if your breakfast carb ecale insulin ratio is reassess use of sliding scale insulin every 72 hours. Also giving a sliding scale for her bolus, humalog is an outdated way of dosing. Insulin pens appear similar to one another despite containing different insulins.
Sliding scale insulin refers to a treatment regimen that provides no basal insulin and provides only. Learn about generic, dosage, side effects, and more. Fastacting insulin also called rapidacting is absorbed quickly and starts working in about 15 minutes to lower blood sugar after meals. Correctional subcutaneous insulin select one insulin aspart novorapid or. Inject humalog mix7525 or humalog mix5050 within fifteen minutes before you eat a meal. Humalog is usually given together with another longacting insulin. When mixing insulins, draw regular insulin into syringe. Lantis is a 24 cylce insulin or a long acting insulin where humalog is short term or short acting insulin. The total lunch insulin dose is 8 units of rapid acting insulin. See more ideas about insulin chart, nursing school tips, nursing notes. Humalog fastacting insulin should be taken 15 minutes before eating or right after eating a meal. Umc health system patient label here sliding scale insulin. The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity. A randomized, doubleblind study with 3way crossover compared human insulin 7030, humalog mix7525, and humalog mix5050 after a standardized breakfast meal 3.
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. Patients will receive the fulldose of glargine insulin even if npo except for those that have gfr 140 mgdl. Umc health system patient label here sliding scale. Longacting insulin glarginedetemir or nph, once or twice a day with short acting insulin aspart, glulisine, lispro, regular. Sliding scale regular or humalog insulin uw health. Humalog insulin lispro injection,for subcutaneous or intravenous use initial u. Insulin is usually injected in the fat under your skin.
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. 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. 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. Do not drink alcohol or take medicines that contain alcohol while taking humalog u100, humalog u200, humalog mix7525, humalog mix5050, or insulin lispro injection. Insulin pens are supplied in boxes of 5 pens each containing 3 ml at 100 units insulin per ml. Sliding scales are less effective in covering a premeal high blood sugar, because the high blood glucose correction and food bolus cannot be split. Humalog mix7525 improved fasting blood glucose fbg and postprandial glucose ppg control 3. Take humalog insulin sliding scale chart 10 units of humalog before meals and. Dec 25, 2019 for example, if your breakfast carb ecale insulin ratio is reassess use of sliding scale insulin every 72 hours. Abiding humalog insulin sliding scale how to do sliding scale insulin. 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. Humalog u100 continuous subcutaneous infusion route insulin pump do not mix.
It is difficult to 9obtain optimal control without occasional, mild episodes of hypoglycemia. Find info about humalog, the fastacting mealtime insulin. 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. Its time to abandon the sliding scale mdedge family medicine. Calculating insulin dose diabetes education online. Select type of insulin and indicate dose see reverse for guidelines. Humalog is a fastacting insulin that begins to work very quickly. 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. Compare common options for insulin therapy mayo clinic. Humalog insulin lispro injection is used to treat people with diabetes for the control of blood sugar. Along with its needed effects, insulin lispro the active ingredient contained in humalog may cause some unwanted.
Humalog insulin lispro rdna origin injection is a hormone that is produced in the body used to treat type 1 insulindependent diabetes in adults. 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. No i have not had that experience with humalog in fact it works very well for me. Prior to withdrawing dose, rotate vial between palms to ensure uniform solution. Consider using a basalbolus and supplemental correction insulin regimen. Insulin is a protein hormone that is used as a medication to treat high blood glucose. Demonstrate technique for mixing insulins by drawing up insulin lispro. Humalog is used to treat type 2 diabetes in adults. It is also used along with glucose to treat high blood potassium levels. We would like to show you a description here but the site wont allow us. Canadian agency for drugs and technologies in health 600865 carling avenue, ottawa, ontario, 1s 5s8. If humalog u100 is mixed with nph insulin, humalog u100 should be drawn into the syringe first. The unit markings on the insulin syringe must match the insulins unitsml. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer.
Lispro humalog aspart novolog glulisine apidra add prandial insulin to basal insulin if postmeal blood glucose levels are above goal. 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. Some of the dosage forms listed on this page may not apply to the brand name humalog for the consumer. 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. 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. Bg change per unit insulin 1800total insulin daily. Humalog is also used together with oral medications to treat type 2 non insulin dependent diabetes in adults. Insulin is usually injected in the fat under your skin using a syringe, insulin pen or insulin pump tubing. Monitor blood glucose in all patients treated with insulin.
While sliding scale use of subcutaneous insulin has long been a. Insulin therapy is a critical part of treatment for people with type 1 diabetes and also for many with type 2 diabetes. I use a sliding scale of humalog at mealtimes and i use 14 units of lantis each evening. Explain to patient that this medication controls hyperglycemia but does not cure diabetes. 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. Depending on the type of diabetes you have, you may need to take humalog with a longeracting insulin or.
Guide to starting and adjusting insulin for type 2 diabetes. Learn sliding scale insulin with free interactive flashcards. Inject your insulin under your skin subcutaneously. The exception is regular, which has an onset of about 30 minutes. Some experts say that slidingscale insulin therapy should be phased out completely. Choose from 49 different sets of sliding scale insulin flashcards on quizlet. While slidingscale use of subcutaneous insulin has long been a. Humalog mix7525 bid plus metformin versus glargine.
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