Sliding Scale Diabetes Canada

Correction only sliding scale insulin program.

Sliding scale diabetes canada.

See adjusting correction scales on isf page. Updated december 2017 416584 step 1. Review insulin s affecting that time of day. Disadvantages of the sliding scale regimen.

Consider using a basal bolus and supplemental correction insulin regimen 8 8. This is done about four times a day every five to six hours or before meals and at bedtime. You still need to count carbohydrates. Canadian agency for drugs and technologies in health 600 865 carling avenue ottawa ontario 1s 5s8.

Choose insulin type step 2. This practice is generally discouraged. Consider using a basal bolus and supplemental correction insulin regimen. Correctional subcutaneous sliding scale insulin to be administered indicate frequency.

Insulin simulation instructional system isis simation us pro isis references. Different types of insulin work at different speeds in the body. The patients treated with the basal bolus correction supplemental program had lower blood glucose at all times of day and had 1 3 of the major post operative complications compared to patients treated with correction insulin alone umpierrez 2011. Read on to learn more.

The sliding scale method does not accommodate changes in insulin needs related to snacks or to stress and activity. Read about the benefits drawbacks. This practice is generally discouraged. Diabetes canada will keep this tool updated and available at guidelines diabetes ca.

In most sliding scale insulin therapy regimens your blood sugar is taken using a glucometer. 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. Mostly high at lunch. This tool was developed by the ontario college of family physicians and the new brunswick diabetes task group and was re produced with permission by diabetes canada.

This chart breaks down the types of insulin their duration and the different brands available. If on a sliding scale look to see if the lows are related to using one or two rows of the sliding scale. Every time before meals q4h none other scale select one low dose moderate dose patient specific less than 4 mmol l 4 1 9 9 mmol l 10 0 13 mmol l 13 1 17 mmol l 17 1 20 mmol l. It is difficult to 9obtain optimal control without occasional mild episodes of hypoglycemia.

Obvious high pattern e g. 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.