Insulin sliding scale guideline pdf

# Insulin sliding scale guideline pdf
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Administerunits subcut, notify provider, and repeat POC blood sugar check inhour. American Medical Directors AssociaGENERAL RECOMMENDATIONS. It is a very useful tool 1 day ago · Do not use sliding scale insulin for long-term diabetes management for individuals residing in the nursing home. Continue to repeatunits subcut and POC blood sugar checks everyhour until blood glucose is less than mg/dL The ADA suggests insulin replacement therapy with basal and rapid-acting prandial (basal-bolus) insulin when the blood glucose level is to mg per dL (to mmol per L) or more or (Consider insulin as initial therapy if A1C very high, such as > %) 6,7,Start with BASAL INSULIN for most patients,7,Consider the following goals1,ADA A1C Goals: A1C < for most patients Administerunits subcut, notify provider, and repeat POC blood sugar check inminutes. Caution: This medication has been associated with patient falls SLIDING SCALE INSULIN REGULAR GUIDELINES. Start insulin if A1C and glucose levels are above goal despite optimal use of other diabetes medications. Use Variable Rate Intravenous Insulin infusion (VRIII), formerly known as sliding scale has been used for ades to achieve normo glycaemia in hospitals. Instructions: Check patient’s blood sugar before meals, at bedtime, and as needed for symptoms of hypoglycemia or hyperglycemia. Less than/equal totreat hypoglycemia per nursing protocolNo additional insulinunitsunitsunitsunitsunits. Continue to repeatunits subcut and POC blood sugar checks everyminutes until blood glucose is less than mg/dL, then resume normal POC blood sugar check and insulin aspart sliding scale HIGH dose sliding scale. Greater thanunits. ,  · AppendixStandard Sliding Scale Insulin protocol If blood glucose is (mg/dL) Give Dextrose% Juice or crackersunits insulin ,  · An insulin regimen with basal, prandial, and correction components is the preferred treatment for most noncritically ill hospitalized patients with adequate Sample Sliding-Scale Insulin Protocol.