Lantus sliding scale
Common Questions and Answers about Lantus sliding scale
lantus
Type 2. taking 20 units of Lantus at 6 PM. and told to take my Novolog on a sliding scale and given the sliding scale. 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.
I went to a diabetes education class that teaches about the sliding scale and how to take your Humalog. However, my doc gave me a formula to use to counteract high blood sugars when not enough insulin has been taken. It's (bloodsugar) - 100 divided by 40. So, if your blood sugar is 300 you would subtract 100 to get 200. Divide that by 40 to get 5 units of Humalog. I also have a scale for when I eat. It's for every 15 grams of carbs I take 2 units of Humalog.
My daughter was diagnosed with Type 1 diabetes when she was 5 years old. She has been giving NPH with Humalog. It hasn't been working much though because she's high most of the time even when we watch what she eats and exercises. It just doesn't make much sense why the NPH isn't working anymore. She's on a sliding scale for Humalog and she gives a shot of 40 units of NPH in the morning.
My husband is on a sliding scale for Humolog and 44units of Lantus at bedtime.His blood sugar at 9pm was 155 I gave him the Lantus as ordered.At 2am he was shaky,sweaty,and weak.was the Lantus dose to much for his blood sugar level?I should mention he ate supper late 7pm.I'm wondering if I gave it to close to thr humolog dose before supper.
I give myself about 21 units of insulin per day--13 units of Lantus and a sliding scale of Humalog between 6-10 units--depending on how many carbohydrates I have eaten--So, it takes me about 2-3 months to use a bottle of Humalog and the Lantus would take longer, but I must open a new bottle every month for consistency issues. Does that help?
m 40, Type 1, diagnosed 1990, one Lantus shot per day, Humalog for meals, with sliding scale adjustment for high (which I have to use EVERY DAY). Last A1C was 8.5, which was the best in about 3 years. Blood sugars very bad, lows in 20-25 range, highs up to 500-600. See nurse practitioner at endocrinologist's office. She doesn't know how to help me, so is passing me off to a diabetes center. I feel like I need to adjust my own insulin, because I'm not getting a lot of help.
I take 40 units Lantus (long acting), and sliding scale Novolog (fast acting) insulins. My bg is always so high in the mornings, I have to take Novolog and wait for sugar to come down to eat. I've had diabetes for many years, but never knew for sure which one! My dr would switch my diagnosis all the time. But went to endo and they did a blood test, and said I'm type 1. I'm angry my dr. never did anything about this.
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 sliding scale 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.
just found out my son has type 1, he was in the hospital for a week with out of control bs levels of over 500. he works on a sliding scale and carb count for his insulin and gets 15 mg of lantus everynight. i am still having alot of trouble with his high bs at night. i have that stupid fear of giving him to much insulin and then he gets lantus. i guess the ?
s prescribe a long acting insulin (such as Lantus) to be taken daily and then also a shorter acting insulin to be used on a sliding scale. The person tests their blood sugar before each meal and at bed time and compares the result to the scale prescribed by the doctor and inject the appropriate amount of insulin (if indicated). It is a good idea to record these levels in a journal so it can be shared with the doctor.
The idea is to keep the blood sugar at a steady, consistent level.
Hi Jimmy,
Premixed insulin requires you to eat on a fixed schedule, and you cannot easily change your insulin dose.
Separate dosing of Lantus (long acting) and Humalog (short acting) where you inject each insulin separately (also called MDI for multi daily injections) is much more flexible. You test and adjust your basal insulin (lantus), then you dose your fast acting for each meal based on how much food / carbs/ protein you eat.
Heck, I was even using NPH instead of Lantus because I could never get Lantus to work right for me. Even so, my two NPH shots plus sliding-scale Humalog worked very well. And I work out (aerobic and weight lifting) religiously.
The tight control changed as my metabolism changed in my early 30s. I'm 32 now and things just went a little whacky, for lack of a better word. I tried (like hell) to get things back under control, but I just couldn't do it.
I recently started thyroid medication and I am gaining weight. Does thyroid medication worsen insulin resistance/ glucose tolerance?
I can't say I focused on adding protein/fat to prolong absorbtion of carbs, but I would say most of the carbs I consumed contained some fat grams...Also, I drank 2% milk vs. skim (fat free) for that reason...It is really hard to accurately measure how much carbs are delayed...I know it is a popular theory in "diets" these days, but not sure I can measure...
no, am type 1...when I first was diagnosed. my sugar was over 800 I was in hospital for a few days trying to lower it..i was constantly urinating and they tried pills first but went to humalog and lantus on a sliding scale..I've had been taking 20units 3 times a day for last 11 years. started losing alot of weight on my own and went down to 10 units twice a day and then last 2 months i've only taken 2 injections of 10 units and I dont feel bad at all.
I have type 2 and have developed severe neuropathy throughout my body. My weight is normal I'm 45 years old. This last year has been very hard because I'm falling a lot and it has advanced to a point where it's very difficult to walk at all.
I don't have insurance so getting the proper care is hard. I recently admitted to myself that I'm no longer able to work and I'm in the process of filing for disability.
The question I have is this.
You mentioned that her sugars are running significantly higher, but her doctor lowered her Lantus? Why was that? I would think it should either be raised (little by little) or a short acting insulin, such as Humalog, be added at meal times, on a sliding scale, to cover the mealtime highs. That's how I've been treating mine for 5 of my last 38 years of being Type 1. (I'm almost 41). It's worked quite nicely.
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