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Insulin Sliding Scale

The administration of insulin for people who are suffering from conditions such as diabetes is a very delicate procedure that needs to be precise. It is important to remember that different insulin types act in different ways when they are injected into the bloodstream. When inserting the hormone into the body, you need to know exactly what it is required for. So what different insulin scales have been recognized by doctors and clinicians?

People suffering from diabetes use insulin to replace the vacant natural version of the chemical that their body is no longer secreting. Its purpose is to regulate blood sugar levels to keep a person’s bloodstream normal. If the glucose levels in the blood becoming too high there is an adverse risk of health problems occurring; some which can be quite dangerous.

The most frequently mentioned scale by doctors and clinicians is what is known as the sliding insulin scale. It is used to help people with high blood sugar levels bring them to a regular state. A doctor will specify a collection of instructions for the patient to strictly follow. These instructions will be associated with a series of your blood glucose level readings and are therefore specific to you.

You will be asked to monitor your blood glucose levels at given points throughout your day. Some of the more ideal times for checking blood sugar levels is around an hour after you have eaten a meal. The sugars you are measuring with this reading are known as postprandial blood sugars. They are often the highest readings a diabetic will come across during the day.

Based on these results, you and your doctor will go about formulating your specific sliding scale. This will then determine how much insulin you will need, as well as whether it is short acting or ultra-short acting. For example, you would aim to administer around four units of insulin if your blood sugar levels are between 201 and 250 milligrams.

The principle of the sliding scale is the give convenience and flexibility to those with diabetes. All of the factors and parameters of your sliding scale can be altered at any time after you have consulted with your doctor. You should always aim to be logging how much more insulin you believe you need based on the monitoring your blood sugar levels when you are at home.

When you have reported back to the doctor, the two of you will continue to adjust your scale. This will all be based on how it the adrenaline administration is reflected in your blood sugar levels. The sliding scale insulin will then be included in the daily dose of long acting insulin that you are already administering. You should see a gradual increase of once-a-day insulin and a decrease in the frequently administered doses that are a part of your sliding insulin scale.