Difference between revisions of "Insulin"

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==Insulin Sliding Scale==
 
==Insulin Sliding Scale==

Revision as of 16:20, 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 high dose regimen should be reserved for the severely insulin resistant patients.
  • 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

  • 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

  • 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

  • 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