In sliding-scale insulin therapy, the dose is based on your blood sugar level. Find out how it works and learn about problems with this diabetes. Lantus (Insulin Glargine), a long-acting insulin is used for treating type 1 Q: Can Lantus be used as a sliding scale with my current insulin of. Chapter 21 – Adjusting the Insulin Dosage and “Thinking” Scales hours, the evening NPH or Lantus (given at It is important to emphasize that “sliding”.

Author: Megore Nikasa
Country: Trinidad & Tobago
Language: English (Spanish)
Genre: Marketing
Published (Last): 16 August 2010
Pages: 323
PDF File Size: 16.60 Mb
ePub File Size: 11.3 Mb
ISBN: 200-8-70921-583-6
Downloads: 99482
Price: Free* [*Free Regsitration Required]
Uploader: Shakamuro

Sliding-Scale Insulin Therapy

Considerations include the discharge location, the patient’s ability to comply with therapy, and, lwntus most importantly, the level of glycemic control at admission. I take 60 units of Lantus for my diabetes.

Every effort has been made to ensure that the information provided by on this page is accurate, up-to-date, and complete, but no guarantee is made to that effect.

Accessed January 24, Cold insulin can be more painful to inject. Email Alerts Don’t miss a single issue.

Sliding Scale: Lantus Insulin Sliding Scale

J If IV insulin will be Lantus Insulin Glargine Dosage. Hypoglycemia can occur when sca,e person has not eaten enough, has too much insulin, has exercised too much, is sick, or is under physical and emotional stress. Insulin glargine should be thin, clear, and colorless. Most protocols strongly advocate the use of the basal insulins glargine or detemir Levemirexcept in pregnant patients because these insulins are class C.

Use each disposable needle only once, and throw used needles away in a puncture-proof container ask your pharmacist where you can get one and how to dispose of it. After startingit says in capital letters not to refrigerate it. Store it safely scae room temperature but not higher than 86 degrees F. Physiologic subcutaneous insulin protocols with basal, nutritional, and correctional components should be used for patients with diabetes mellitus who are hospitalized non-ICU.


Until starting the pen, you are supposed to keep it refrigerated. However, if an individual already has liver impairment, the Lantus dose may need to be adjusted. In the United States, the prevalence of diabetes mellitus is now It is recommended that hospital teams establish a target glucose range Table 1.

Unfortunately, Apidra and Lantus do not have a generic version as of yet. Prospective observational studies have documented superior glycemic control with this three-pronged physiologic approach.

Research shows that subcutaneous insulin administration in the non-ICU hospitalized patient should include three components to be effective: Posted by Zapasiki Narshatov at 1: Insulin sensitivity, nutritional intake, and total spiding dosing review can alter the physiologic insulin-dosing schedule. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal lantue records.

Can Lantus cause fingernails to get brittle and split? A correctional insulin dose provides a final insulin adjustment based on the preprandial glucose value. The pens are so expensive that they are unaffordable for us. This content is owned by the AAFP. The Randomized Study of Basal Bolus Insulin Therapy in the Inpatient Management of Patients with Type 2 Diabetes trial is the only prospective randomized controlled study that compared traditional sliding-scale insulin with a new basal-bolus subcutaneous insulin glargine for long-acting insulin and insulin glulisine Apidra; for nutritional and supplemental doses.

If you have any questions about the drugs you are taking, check with your doctor, nurse or pharmacist. The initial total daily dose of subcutaneous insulin is calculated lahtus a factor of 0.

Benefits of Okra for Diabetes Also called ladies’ fingers, okra is an annual vegetable that some believe may be the secret to managing diabetes. An A1C level should be obtained upon admission if none performed within the past 30 days. Keep them in the outer package and in the refrigerator. Even trying to cut back on the sweet stuff…. In this case, its the metacresol found in Lantus. What does one do in the summer when the lanus is in the 90’s?


Want slidjng use this article elsewhere? Never drink alcohol while on Lantus because that can cause hypoglycemia or low blood sugar. I believe you will find the following links at everydayhealth.

Emergency kits are available by prescription for severe cases of hypoglycemia when you are unable to eat or drink. This is not a complete list of the side effects associated with Lantus. C 82426 Insulin therapy should be continued upon hospital discharge of capable patients already on two or more oral diabetic medications and with an admission A1C greater than 10 percent.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. I am taking 24 units of Lantus in the morning.


Lantus (Insulin Glargine) – Side Effects, Dosage, Interactions – Drugs

I am a gardner, bike rider and swim three times each week. Sometimes it can cause blood sugar to dip too low. Evidence for the effectiveness of sliding-scale insulin is lacking after more than 40 years of use.

Effect of hyperglycemia and continuous intravenous insulin infusions on outcomes of cardiac surgical procedures: Please consult with your health care provider in regards to your insulin use and lsiding. Practical guidelines for implementing physiologic subcutaneous insulin have been published. You can also go to pparx.