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.
Type 1 diabetes sliding scale insulin.
Goals of insulin therapy.
A sliding scale is when you inject a certain amount of insulin depending on your current blood sugar level.
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.
You still need to count carbohydrates.
If you have type 1 diabetes insulin therapy is vital for replacing the insulin your body doesn t produce.
The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity.
With a basal bolus regimen you could inject insulin up to 4 times a day.
These earlier studies used urine glucose for sliding scale but with demonstration of inaccuracy of urine glucose 3 blood glucose replaced urine glucose for sliding scale in diabetic.
Sometimes people with type 2 diabetes.
People with type 1 diabetes make little or no insulin.
Untreated high blood glucose can eventually lead to complications such as blindness nerve damage and kidney damage.
Sliding scale insulin therapy is one way a person with diabetes can work out how much insulin to take before a meal without causing negative effects on the body.
People with type 1 diabetes and some with type 2 diabetes have to take several injections of insulin per day.
This means your insulin dose may vary throughout the day.
People with type 1 or type 2 diabetes may use a basal bolus insulin regimen.
Long acting insulin can be administered once daily at bedtime or ideally twice daily in addition to another type of insulin.