When compared to insulin regular, insulin aspart has a more rapid onset and shorter duration of activity. Therefore, novolog sliding scale can help control the high blood sugar level in human body and the 10 main reasons for using the sliding scale adjustable dosing novolog stays parallel to the activities and mealtimes of a diabetic patient. Stepwise dosing and titration of insulin for type 2 diabetes. I got on the floor at 330, checked his bs at 4, it was 141. Novolog flexpen is sometimes used together with a longacting or intermediateacting insulin. Novolog mix 7030 insulin aspart protamine and insulin. Novolog insulin aspart dosing, indications, interactions. Its a shortacting, manufactured version of human insulin that lowers sugars in the blood. Dec 26, 2017 by the end of 2012, 86 million people were affected by diabetes and the number is expected to triple by 2050.
Insulin pens specifically designed for children and adolescents allow for 0. Patients using novolog mix 7030 vials must never share needles or syringes. Aug 30, 2016 novolog insulin aspart sliding scale novolog insulin chart ppt inpatient hyperglycemia in non bolus basal versus sliding sliding scale novolog insulin chartnovolog insulin dosage chart images e993apidra sliding scale sensitive images e993sliding scale insulin aspart protocol plansliding scale for humalog kwikpen diabetestalksliding scale therapy diabetes educationnovolog dosing insulin aspart. Insulin aspart, sold under the brand name novolog among others, is a type of manufactured insulin used to treat type 1 and type 2 diabetes.
How to take novolog mealtime insulin novolog insulin aspart. Divide the total carbohydrates by the insulin to carbohydrate ratio. Sharing poses a risk for transmission of bloodborne pathogens. Dailymed novolog insulin aspart injection, solution. The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease. Find out how it works and learn about problems with this diabetes. Do not mix novolog mix 7030 with other insulin products or use in an insulin pump. Never share a novolog mix 7030 flexpen, needle, or syringe between patients, even if the needle is changed. Never share a novolog flexpen or a novolog flextouch, penfill cartridge or penfill cartridge device between patients, even if the needle is changed. Sliding scale for novolog aspart diabetes type 2 medhelp. The last doctor i was seeing he put me on novolog sliding scale with each meal and at bedtime, novolin n 10 units before meals, lantus 40 units twice daily, 2000 mg of glucophage, asa daily, lisinopril a day. Diabetes medications chart, diabetes mellitus, types of diabetes, prevent diabetes, diabetes.
You probably will find some beneficial info in this post, come have a glimpse. Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog insulin subq 151 200 4 units of humalog insulin subq 201 250 6 units of humalog insulin subq 251. Bg change per unit insulin 1800total insulin daily. Novolog flexpen is a fastacting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours. Novopen echo provides precise halfunit dosing from 0.
Nov 02, 2018 insulin sliding scale sliding scale lantus 100 units ml inpatient diabetes management how to switch between insulin s insulin therapy in the outpatient setting sliding scale novolog insulin chartblood sugar sliding scale novolog images e993apidra sliding scale sensitive images e993novolog mix 70 30 dosing administration lines for hcpsstandard sliding scale insulin protocol for patients with. Novolog insulin sliding scale chart best picture of chart. When diabetes isnt diagnosed and treated early on, it can wreak havoc on the. He currently gets with breakfast 4 units of nph and 2 units of novolog plus the sliding scale. Novolog insulin aspart injection 100 uml is an insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus.
Novolog is homologous with regular human insulin with the exception of a single substitution of the amino acid proline by aspartic acid in position b28, and is produced by recombinant dna technology utilizing saccharomyces. Calculate insulin dose for food add up all the carbohydrates in your meal. Many people believe that diabetes is a condition that elevates their blood sugar levels. Novolog is contraindicated during episodes of hypoglycemia and in patients hypersensitive to novolog or one of its excipients. Find patient medical information for novolog flexpen u100 insulin aspart subcutaneous on webmd including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Novolog sliding scale insulin chart insulin chart, diabetes. As the nighttime scale only considers the amount of insulin required to drop your blood sugar level back into the target range, it should not be used to cover a bedtime snack. When using a sliding scale, eat the same amount of carbohydrate at each meal. Adult sliding scale for insulin aspart novolog umc health system. Sliding scale insulin protocol follow ssi reference text medications medication sentences are per dose. At bedime he gets 1 unit of nph if his sugar is above 250 at the 4am check he gets 1 unit of novolog. Insulin aspart is a rapidacting insulin analog which is normally administered subq as a premeal component of the insulin regimen or as a continuous subq infusion and should be used with intermediate or longacting insulin. Novolog insulin aspart rdna origin injection is a form of insulin, a hormone that is produced in the body, used to treat type 1 insulindependent diabetes in adults and children who are at least 2 years old. Nursing accessories id badge holders clothing info.
Sliding scales contact provider if maximum glucose is exceeded. Use of a standardized protocol to decrease medication errors. Novolog mix 7030 insulin aspart protamine and insulin aspart injectable suspension 100 uml is a mixture of insulin aspart protamine and insulin aspart indicated to improve glycemic control in patients with diabetes mellitus. For longterm control, youll need to take novolog insulin aspart with other medicines to keep your overall blood sugar down. Sliding scale regimens may include a bedtime high blood sugar correction. Basal insulin orders prandialbolus meal insulin orders correction dose insulin although technically a sliding scale, it will be referred to as correction dosing misc insulin. Novolog sliding scale is used to figure out the insulin needs in a diabetic patient. Never share a novolog flexpen, novolog flextouch, penfill cartridge, or penfill cartridge device between patients, even if the needle is changed. Novolog dosing novolog insulin aspart injection 100 uml. It is generally used by injection under the skin but may also be used by injection into a vein. Novolog flexpen is used to improve blood sugar control in adults and children with diabetes mellitus.
Sliding scale insulin ssi is commonly used to manage hospitalized patients with and without diabetes mellitus. Novolog insulin aspart injection 100 uml indications and usage novolog insulin aspart injection 100 uml is an insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. Taking insulin or other diabetes medications is often part of dealing with diabetes in addition to healthy food choices and exercise, medicine can assist you handle the disease. A sliding scale can be used on most patients when only using one insulin type, not two as in your fathers case. Humalog sliding scale insulin coverage blood sugar result humalog insulin coverage subq 60 124 no coverage 125 150 2 units of humalog insulin subq 151 200 4 units of humalog insulin subq 201 250 6 units of humalog insulin subq 251 300 8 units of humalog insulin subq 301 350 10 units of humalog insulin subq. Hyperglycemia or hypoglycemia with changes in insulin regimen. You will need to calculate a total daily dose if needed. According to the sliding scale it said to give none. Apr 05, 2019 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 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. Greater than increase lunch rapidregular insulin dose by 24 units. The 30 in novolog 7030 is shortfast acting 70 intermediateall day and novolog aspart is entirely shortfast acting. Optimizing glucose management in hospitalized patients using.
Based on diabetes medications chart, oral medication pills for diabetes type 2 symptoms are classed in a number of categories depending their on type. Adult sliding scale for insulin aspart novolog blood glucose mgdl low dose moderate dose high dose less than 70 initiate hypoglycemia guidelines initiate hypoglycemia guidelines initiate hypoglycemia guidelines. Patients using novolog mix 7030 vials must never share needles or syringes with another person. Novolog mix 7030 official health care professionals website. In slidingscale insulin therapy, the dose is based on your blood sugar level. Novolog insulin pen options novolog insulin aspart. The term sliding scale refers to the progressive increase in the premeal or nighttime insulin dose, based on predefined blood glucose ranges.
Novolog mix 7030 is contraindicated during episodes of hypoglycemia and in patients hypersensitive to novolog mix 7030 or one of its excipients. For the treatment of diabetes, insulin is the basic foundation. And it lasts up to 28 days without refrigeration after first use, so it can be taken almost anywhere. Usually, fast acting insulins, such as, apidra or humalog or novolog are given on sliding scale therapy. When a person faces with diabetes, it is either their body cannot use insulin efficiently, or their body cannot produce enough insulin. Novolog mix 7030 is not recommended for the treatment of diabetic ketoacidosis. In this video, you will learn how to use the correction factor and insulin to carb ratio on a sliding scale to determine how much insulin to give with a meal. Optimizing glucose management in hospitalized patients. Novolog sliding scale theadvantage of using the wallet. Maximum effect occurs after about hours and lasts for 35 hours. It also records the insulin dose and time passed since the last injection. Order order details insulin aspart moderate dose insulin aspart sliding scale 0. Lispro goal blood glucose is jan 06, 2018 novolog mix 7030 is contraindicated during episodes of hypoglycemia and in patients hypersensitive to novolog mix 7030 or one of its excipients. This is done about four times a day every five to six hours, or before meals and at bedtime.
Novolog is the brand name of the prescription drug insulin aspart, which is used treat diabetes. What is the sliding scale range for novolog insulin. Administer 14 units subcut, notify provider, and repeat poc blood sugar check in 30 minutes. Novolog is usually given together with another longacting insulin. Sep 09, 2011 i am confused a bit about insulin control sliding scale. Insulin dosing worksheet sliding scale insulin to carbohydrate ratio 1 unit. Can oral amiodarone complicate management of type ii diabetes. He gets with dinner 1 unit of novolog plus the sliding scale. If you have type 2 diabetes, inject within 15 minutes before or after starting your meal.
Slidingscale insulin therapy home health patient education. Novolog is homologous with regular human insulin with the exception of a single substitution of the amino acid proline by aspartic acid in position b28, and is produced by recombinant dna technology utilizing saccharomyces cerevisiae bakers. Sliding scale regular humulin insulin physician order set. Sliding scale novolog question diabetes endocrine nursing. I am confused a bit about insulin controlsliding scale. If you are using novolog flexpen, you can select doses from 1 to 60 units in 1unit steps. Never share a novolog mix 7030 flexpen between patients, even if the needle is changed. I am using lantus with a sliding scale of novolog and was keeping my sugars under pretty good control. Using sliding scale to determine insulin dose youtube. Novolog insulin aspart injection is a rapidacting human insulin analog used to lower blood glucose. Novolog insulin sliding scale chart best picture of. If you have type 1 diabetes, inject within 15 minutes before you eat a meal.
By the end of 2012, 86 million people were affected by diabetes and the number is expected to triple by 2050. Taking insulin or other diabetes medications is often part of dealing with diabetes in addition to healthy food choices and exercise, medicine can assist. Greater than increase supper rapidregular insulin dose. This method of treatment does not account for insulin needed for the current meal. Basal insulin orders prandialbolus meal insulin orders correction dose insulin although technically a sliding scale, it will be referred to as correction dosing misc insulin orders e. Novolog insulin aspart is a fastacting insulin that provides mealtime blood sugar control. Lispro goal blood glucose is injection 100 uml is an insulin analog indicated to improve glycemic control in adults and children with diabetes mellitus. In most sliding scale insulin therapy regimens, your blood sugar is taken using a glucometer. Aug 29, 2018 sliding scale chart, sliding scale chart for diabetes, sliding scale chart for humalog, sliding scale chart for novolog insulin sliding scale chart to see if you are eligible, find your family in the table below. Novolog insulin aspart sliding scale novolog insulin chart ppt inpatient hyperglycemia in non bolus basal versus sliding sliding scale novolog insulin chartnovolog insulin dosage chart images e993apidra sliding scale sensitive images e993sliding scale insulin aspart protocol plansliding scale for humalog kwikpen diabetestalksliding scale therapy. Novolog insulin aspart side effects, dosage, interactions. Continue to repeat 10 units subcut and poc blood sugar checks every 30 minutes until blood glucose is less than 300 mgdl, then resume normal poc blood sugar check and insulin aspart sliding scale.
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