Sliding Scale Insulin Protocol Malaysia

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.

Sliding scale insulin protocol malaysia. Add prandial insulin to basal insulin if post meal blood glucose levels are above goal 6 7 8 start one of the prandial insulins listed above. The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity. 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. Use of variable rate intravenous insulin infusion vriii for adults clinical guideline v4 0 page 5 of 11 insulin must be drawn up using an insulin syringe draw up 50 units of human actrapid and add to 49 5 ml of 0 9 sodium chloride in a luer lock syringe mix well.

Read about the benefits drawbacks. Continue to repeat 10 units subcut and poc blood until blood glucose is less than 300 mg dl then resume normal poc blood sugar check and insulin regular sliding scale. Continue basal insulin may need to re adjust dose 6 7 8 rapid acting insulins should be just before meal. You still need to count carbohydrates.

Determine the total daily insulin requirement using a sliding scale subcutaneous insulin therapy is initiated with regular short acting insulin given in a dose of 0 2u kg dose with the subsequent dose being adjusted every 6 h depending. Disadvantages of the sliding scale regimen. Administer 14 units subcut notify provider and repeat poc blood sugar check in 1 hour. Check and insulin regular sliding scale.

6 7 when adding prandial insulin. 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. Sliding scale insulin regime sliding scale insulin regime regime therapy sliding scale insulin regime procedure. Nevertheless developing an insulin infusion protocol for the icu has been challenging.

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