Novolog sliding scale

Common Questions and Answers about Novolog sliding scale

novolog

taking 20 units of Lantus at 6 PM. and told to take my <span style = 'background-color: #dae8f4'>novolog</span> on a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> and given the <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span>. 1 unit for every 50mg/dl over 100 mg/dl. Problem being I am always 100 + - before meals and don't need insulin. So when do I take the novolog? I been waiting 2 hrs and using it to get from my normal 250 - 300 (After meals) down to an acceptable level.<140.
Depends on how you use your insullin. My doctor gave me an insulin to carbohydrate ratio to use. I use 1 unit of insulin to every 12 grams of carbs I eat. The less carbs I eat, the less insulin I use. I have a very physical job for four hours a day and I don't even need my Humalog when I eat lunch. My pen generally lasts me the whole month. My Humalog is only good for 28 - 30 days.
No I have not had that experience with Humalog-in fact it works very well for me. I use a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> of Humalog at mealtimes and I use 14 units of Lantis each evening. Lantis is a 24 cylce insulin or a long acting insulin where Humalog is short term or short acting insulin. But this just shows you that different people have different needs. Before I used Lantis I used to use NPH-which is a shorter long acting inuslin-more like 8 hours. Have you tried giving your Novolin before you eat?
I take the novolog 5 units in the morning and 5 units in the evenings, with meals. I also use a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> with it. The Lantus I take just before bedtime. Right now, I'm at 25 units, from 45 units 3 weeks ago!!! I've found that when I take both just before bed, my morning fasting blood sugars are really low...like below 80. I've had it drop as low as 53. It was soo scary!! This morning, it was 89, which I was satisfied with.
She put me on Byetta (5 units before breakfast and dinner), and she changed my <span style = 'background-color: #dae8f4'>novolog</span> insulin <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span>. Eventually she would like for me to switch to Lantus, but in the meantime, I need to take at least 20 units before each meal, no matter what my BS is. Then she wants me to increase the units based on my levels using this formula: BS minus 150 / 10 for example: BS = 224 - 150 = 74 /10 = 7.
Your doctor has you on a very outdated method of determining bolus (meal) doses, called a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span>. The standard of care is called an Insulin to Carb Ratio, which has you count your carbs then take the amount of units needed for what you are actually going to eat. In addition, if your numbers are that high even between meals you may need more lantus. 15 units is quite low for a type 2.
I am taking now lantus 25 units at night, and the last bottle of <span style = 'background-color: #dae8f4'>novolog</span> regular i have been using the <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> last DR. gave. I wanted to know how to use the novolog mix? and do i need regular insulin while take the novolog mix? and should i stop taking the lantus if i start the novolog mix? Any help is welcomed, please and thank you.
I recently started thyroid medication and I am gaining weight. Does thyroid medication worsen insulin resistance/ glucose tolerance?
I have just been dx: stage 4 cirrhosis, in 1989 i was dx: fatty liver, the first 3 stages went undetected. I'm told I wil need to go on a transplant list. I'm also dx: Type 2 Diabetes and take 1000mg Metformin/day & novolog per sliding scale, which I haven't needed to take. What artficial sweetner is best to use due to the liver disease? What is the best diet plan for these conditions?
He currently gets with breakfast 4 units of NPH and 2 units of <span style = 'background-color: #dae8f4'>novolog</span> plus the <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span>. He gets with Dinner 1 unit of <span style = 'background-color: #dae8f4'>novolog</span> plus the <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span>. At bedime he gets 1 unit of NPH If his sugar is above 250 at the 4am check he gets 1 unit of novolog. They said that he is in the honeymoon stage now and I don't know if that has anything to do with it but the last 2 days have been HECK. His sugars are running low. She is supposed to call this morning about changing his dosing.
Most endocrinologists will put a diabetic patient who uses insulin on a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> of insulin, depending on what the blood glucose is when you test before a meal. The ideal is of course for glucose levels to be in the "normal" before meal range of between something like 70-126 (different doctors use slightly different numbers, but this is pretty typical). But we can't always have the ideal numbers -- if we DID, we wouldn't be diabetic!
Okay I'm 19 been diabetic since I was 4 and and I have gained 15-20 pounds with my new insulin regimen started about 6 months ago.I take humalog on <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> 1 unit per 10 carbs and I take it every time I eat and I also take 50 units of lantus at bed time.So my question is can this be causing my weight gain? I think the lantus initially caused me to gain about 20lbs. to begin with 6yrs. ago and I'm now over weight.I'm on my feet constantly at work 9 hrs.
THIS STARTED ABOUT 3 WEEKS AGO, I HAVE TYPE 2 DIABETES FOR ABOUT 7=8 YRS NOW. I INJECT <span style = 'background-color: #dae8f4'>novolog</span> ON A <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> OF BLOOD SUGAR RESULTS AND 80 UNITS LANTUS FIRST THING IN THE MORNING AND LAST AT NIGHT. I DO 30 MINUTES AT A TIME ON THE TREADMILL 5-6 TIMES A WEEK. I TAKE THE FOLLOWING ADDITINAL DIABETES RELATED MEDICATION: 1) AMLOPIDIN, 5 MG 1X, 2) METFORMIN HCL, 1000 MG, 2X 3) LISINPPRIL 40 MG, 2X 4) ALLOPURINOL 300MG, 1X 5) DOXAZOSIN 1 MG, 1X 6) HYDROCHLOROTHIAZIDE12.
I take novolog during the day, 5 units with breakfast and dinner, with a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> as well. I also take oral medications as well (Metformin 1000 mg, 2 x daily; Glyburide, 10 mg, 2 x daily). I want to find out what to do. I talked to my doctor about 3 weeks ago, and at that time, I was taking 25 units of Lantus at night, along with my other meds. At that time, he said everything looked good. I don't know what to do.
Hi Bill! I'm a volunteer, not a medical professional, so please check & verify all information received here with your endocrinologist before taking any action. I am the parent of an 18 year old who was diagnosed at the age of 21 months and we've done shots (N&R, Lantus&Humalog), inhaled insulin (did a 2 year study), and currently she's on an insulin pump (& loving it!). My daughter's endo had her on a sliding scale dosage, dependent on her bg reading.
Pills were tried but didn't work, so now he is on <span style = 'background-color: #dae8f4'>novolog</span>. (20 units before breakfast and 20 units before dinner). (Is this a high dose?) He has had a number of low readings, sometimes as low as 35. Normally he can feel it coming on and has juice or soda and he's fine. The problem is a couple of times it hit so fast that as he is getting something to drink he passes out. I am new too all this and it's very scary when it happens.
I take 35 units of Lantus and I'm on a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> of Humalog (I take anywhere from 3 to 10 units of Humalog). I just got back from lunch (I ate about an hour ago) and when I checked my blood sugar it was 310. It has gotten to where 250 - 300 is more the normal than before when it was about 80 - 120. My last A1C was 6.5 and I know that is within the normal range but before my surgery, it was more like 5.7.
Although I am sure your son hates doing it, the best way to control the blood sugars are testing at home, before and two hours after meals, you can always adjust the insulin and after a while you will get the hang of knowing a good amount, the best way os to try a sliding scale...such as if he is in the range of 100 - 150 he takes X amount of novolog.
If this continues I'm going to lose the use of my legs completely but I don't know what I can do. I was on the <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> and I was given myself 10 + injections a day but that too failed to lower it. I have always providing for my family and not be able to has left me depressed and hopeless. I have been on several different medicines to relieve the pain even narcotics but had to stop because it was affecting my ability to work.
The last doctor I was seeing he put me on- <span style = 'background-color: #dae8f4'>novolog</span> <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> 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. My blood sugar still runs between 250-500. I take my medication everyday (the best of my ability and what I can afford), exercise 30 min a day (walking), and watch what I eat. I recently had staph in my left kidney, and I have a cyst on my right one.
He no longer sees an endo, but now sees an Internal Medicine Resident (doctor in training) near one of our local hospitals and pays a very small fee on a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span>. He is currently waiting for our County health plan to start accepting new clients, which usually happens only once a year. If he gets in, he will get basic medical care (which includes doctor visits and prescriptions, including test strips) for about $10 per month.
I was on an insulin pump but now take oral meds and sliding <span style = 'background-color: #dae8f4'>scale</span> <span style = 'background-color: #dae8f4'>novolog</span> insulin. Mathias has blood sugars well into the 400's and can drop right back to 170-200 range within an hour. I agree that MODY is probably less cruel to children than type 1 but it seems like not enough in known about it to effectively control it. If anyone knows of any experts here is the U.S., please email me ***@****.
Because your son is newly diagnosed, his hunger pangs can be extreme due to his body receiving insulin that perhaps it hasn't received enough of for some time before diagnosis. Speak to your endocrinologist about a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> of adjusting his insulin requirements if you know the type of carbs he is going to be eating (ex: pizza or pasta may require more insulin as, in some people, tend to spike the bg level after eating).
I also have type 2 diabetes, insulin dependent. I take 35 units of Lantus at night. I take <span style = 'background-color: #dae8f4'>novolog</span> on a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> using 2 units per carb. My blood sugars are in control. I take Lisinopril 40mg. I take Amlodipine 5 mg. I have gained weight and cannot lose any. It is as if I have a tube in my belly pumping air in. I do treadmill , ablounge and pilates 4 days a week. I have even changed the way I eat because of this weight issue.
There are so many questions that I have for you and so much that you will learn as time goes on. What type of insulin is she on? How often? A <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> or insulin to cover the food she eats? If she is not taking insulin every time she eats (to cover the food), did anyone tell you how many carbohydrates she should have per meal? per snack? What did this children's ward tell you to do? Did you ever even get to talk to a doctor?
I don't know I kind of figure spending over $5000 the month before would have at least been given some type of <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> fee. Bottom line is don't expect them to help you much. There are many good insulin pump companies out there these days and at least we have alternatives to MiniMed.
I found out 9 months ago at 25 years old that I am type 1 diabetic, I take 2000mg per day of metformin, 45units of lantus, novalog pen on <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span>, actos 30mg and 10mg lipitor. I have lost 3 babies in the last 12 months, 2 before I knew I was diabetic 1 after, all 3 with low progesterone. When I found out I was diabetic I brought my numbers down and tried again still lost it. I have 2 children that are 8 & 9 had them with no complications.
Our son uses a novalog pen so is on a <span style = 'background-color: #dae8f4'>sliding</span> <span style = 'background-color: #dae8f4'>scale</span> during the day and we ended up with much less insulin to carb at noon (at school) compared to the other times of day. This helped with the lows in the afternoon at school but is not totally fixed the "problem" yet. In general, he is more active at school (due to recess, moving around to different class rooms during the day and physical education) so found he needed less insulin to cover the carbs.
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