Subcutaneous insulin therapy is the preferred method of glycemic control on non-critical care units for patients with diabetes. There are various types of insulin protocols for treating hyperglycemia in the hospital setting. Treatment options include sliding-scale insulin or basal/bolus insulin therapy. Sliding scale insulin has been a common hyperglycemia strategy used in the United States as early as the 1930s. Despite evidence demonstrating no clinical benefit with this strategy, sliding scale insulin has remained pervasive in clinical practice . Sliding scale insulin practices a reactive hyperglycemia management Abstract
Insulin Infusion following Betamethasone Injections for Women with Diabetes in Pregnancy Fill in blanks as needed. Where alternatives are offered strike out those that do not apply. Use one sheet per infused drug. Use a new sheet if the recipe strength is changed. PREPARATION SLIDING SCALE (cross out the scales not in use) Take 100 units (1 mL) of 6. Baldwin D, Villanueva G, McNutt R, Bhatnagar S. Eliminating inpatient sliding-scale insulin: a reeducation project with medical house staff. Diabetes Care. 2005;28(5):1008-1011. doi: 10.2337/diacare.28.12.2987-a. PubMed 7. Browning LA, Dumo P. Sliding-scale insulin: an antiquated approach to glycemic control in hospitalized patients.
In most sliding-scale insulin therapy regimens, your blood sugar is taken using a glucometer. This is done about four times a day (every 5 to 6 hours, or before meals and at bedtime).Differentiate between basal-bolus and sliding scale insulin dosing regimens. Explain the rationale for each component of a comprehensive pharmacy-based protocol for insulin dosing / COMPREHENSIVE PHARMACY SERVICES Apr 06, 2020 · Insulin therapy is used to slowly correct high glucose levels; consult current treatment protocols for specific guidance on fluid and electrolyte management. Initiate insulin infusion 1 to 2 hours after starting fluid replacement therapy.