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GENERAL RECOMMENDATIONS. Start insulin if A1C and glucose levels are above goal despite optimal use of other diabetes medications. (Consider insulin as initial therapy if A1C very high, such as > 10.0%) 6,7,8. Start with BASAL INSULIN for most patients. 6,7,8. Consider the following goals1,6. ADA A1C Goals: A1C < 7.0 for most patients.
REGULAR INSULIN (eg. Humulin-R®) SLIDING SCALE -STANDARD ORDERS. Recommended Indications: As a supplement to a patient’s usual diabetes medications (long-acting insulin or oral agents) to treat uncontrolled high blood sugars . For short term use (24-48 hours) in a patient admitted with an unknown insulin requirement Regimens:
1 ml Humulin R zawiera 100 j.m. insuliny ludzkiej (Insulinum humanum), otrzymywanej metodą rekombinacji DNA E.coli. Jeden wkład do wstrzykiwacza zawiera 3 ml roztworu, co odpowiada 300 j.m. insuliny rozpuszczalnej.
Adjust insulin dose by 5% to 10% per week or 1 or 2 units at a time to prevent hypoglycemia. Adjust one insulin at a time. Begin with the insulin that will correct the first problem blood glucose of the day. If unexplained morning hyperglycemia is occurring, determine the cause before adjusting therapy.
INSULIN SLIDING SCALE. MEDIUM dose sliding scale. Less than/equal to 70 treat hypoglycemia per nursing protocol. 71-119 No additional insulin. 120-150 2 units. 151-200 4 units. 201-250 6 units. 251-300 8 units. 301-350 10 units. Greater than 351 12 units.
HUMULIN R is injected under the skin (subcutaneously) of your stomach area (abdomen), buttocks, upper legs or upper arms. Wipe the skin with an alcohol swab. Let the injection site dry before you inject your dose. Step 11: Insert the needle into your skin. Step 12: Push down on the Plunger to inject your dose.
The term “sliding scale” refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges. Sliding scale insulin regimens approximate daily insulin requirements.
