Sliding Scale

[Guest guest]

In a message dated 11/27/2005 7:05:10 P.M. Eastern Standard Time,

spice0356@... writes:

What is a sliding scale for insulin? Thanks for your replies. le

well i am sure every doctor and person is different, my is 2 units for 50 I

am over 150..so if I am 150 it is 2 units If I am 200 it is 4 units and so

on..but again..I would check with your doctor, I am on the pump so it could be

very different for someone else

[Guest guest]

I have instructions on how much humalog to use according to my BS

before each meal

Janet

>

> What is a sliding scale for insulin? Thanks for your replies. le

>

>

[Guest guest]

A sliding scale is parameters set by your doctor for determining how

much insulin you take. For example, there will be parameters set as

below..(this is just a theoretical scale).

If blood sugars are over 400 - call doctor

if blood sugars are 300-399 - take 8 units

If blood sugars are 200-299 - take 6 units

If blood sugars are 150-199 - take 4 units

etc.etc. etc.

Hope that helps....Christie

[Guest guest]

My scale is <80 : 80-130: 131-180: 181-230: >231

Those are blood sugar numbers. For each one I take a different amount of

insulin. Every couple of weeks my doctor lowers the amount but the blood

sugar numbers stay the same. (hope that was clearer than mud)

Marla

-- sliding scale

What is a sliding scale for insulin? Thanks for your replies. le

[Guest guest]

Good Morning:

" Sliding scale " is a very simple three piece formula you get from the doctor,

diabetes educator, etc. in order to determine completely on your own your

injected insulin dosage.

Everybody here trys to stay as near as possible to some magic blood sugar target

number. For some its 100, others 150 towards that end we use insulin, exercise,

diet to reach that number 24-7, 365!!! So for every X number of points above

that target number you use a certain fixed number of insulin units. Some will

use 1 unit every 50 points, some will use 1 unit for every 30 (you pick the

number) above the target. (Pretending my sugar was 185, if my ratio was 1 unit

for every 30 points above my target of 100, I would likely take 3 units to cover

the sugar number). That is coverage for the sugar part.

Then you factor in whatever food you will be eating.

Whatever you are eating, you likely use insulin to cover whatever calories/carbs

are in that food, right? If I was having a fresh turkey sandwich I figure out

how many carbs. were in the bread of the sandwich, and figure out if I was

eating the apple for dessert or not? If I was, then I have to count it. So

pretending the total was 60 carbs I'd use whatever formula my doctor suggested 1

unit for XYZ carbs..

SO you have the sugar coverage + the food dosage and then add in the last part.

Are you going to be exercising heavily in the immediate future (within 3 hrs)?

If so you likely cut back how much insulin you'll be using... or eat more food

so that you don't go low while exercising.

But that's the basic framework of " sliding scale " .

I miss anything?

J