NEED HELP NOW!!!!

nanaellen
By nanaellen Latest Reply 2011-03-14 20:46:58 -0500
Started 2011-03-13 22:47:12 -0500

DOES ANYONE HAVE ACCESS TO A SLIDING SCALE FOR HUMALOG?? AND CAN I TAKE HUMALOG SO CLOSE TO THE TIME I TAKE MY LANTUS INSULIN??? MY BS IS 471 RIGHT NOW!! AND I TAKE MY LANTUS INSULIN @ 1:00 A.M. CAN ANYONE HELP???


7 replies

Armourer
Armourer 2011-03-14 20:41:19 -0500 Report

Ditto to what Type1Lou & kdroberts said. I take Lantus & humalog, one injection for each side of the stomach or sides. On the Lantus do the same time. Because my dose is so large I have my stick broken between morning and night. Shouldn't inject Lantus over 50 units at a time. Sliding scale is different for everybody. I'm still on mine, but the Dia. educator added carb counting for me which was the secret to my control. I determine how may carbs in a meal, diivided it by 5, 1 unit for every 5 grams above the humalog baseline and sliding scale. That is mine, but you may be different!

Type1Lou
Type1Lou 2011-03-14 09:08:35 -0500 Report

Ditto to kdroberts' reply. Make sure if you take your Lantus and Humalog at the same time that you do so as two different injections…they cannot be mixed. I take my Lantus upon rising in the morning and take my breakfast Novolog at the same time. Any sliding scale you use has to consider your metabolism, how your body reacts to insulin, what you are eating (how many carbs) and what your pre-meal BG is. Work with your doctor to establish a scale that works for you. If your doctor won't work with you, see an endocrinologist…that's what I had to do because my GP just wasn't giving me the right direction.

kdroberts
kdroberts 2011-03-14 08:54:05 -0500 Report

There is no "sliding scale for Humalog." Since it is hugely different for each person and there are different types of humalog insulins there are thousands and thousands of different options and only your doctor and you can come up with yours. Using somebody elses scale can be extremely dangerous since it was not designed for you. You can inject lantus and humalog at the same time, you just have to make sure that the injection sites are a good few inches away from each other though.

realsis77
realsis77 2011-03-14 07:44:04 -0500 Report

Yes I have a slinding scale for humulin R. It is as follows this is what my doc wrote me: 150 to 200 2 units, 200 to 250 4 units, 250 to 300 6 units, 300 to 350 8 units, above that he wrote call doctor. Now I'm a very tiny person and I'm not sure if my sliding scale is correct for everyone. I also take lantus. And I do take humulinR after my lantus. I would be on the safe side and call my doctors office as soon as possiable. Its likely you need an adjustment in doseage. I was running 300 to 400 and my doc raised my lantus dose and that did the trick for me. Its very important to speak to your doctor as soon as possiable! You don't want to raise any medication without doctors consent first! For me the doctor consented to the lantus raise over the phone when I was having problems and it worked out great for me. As soon as the doctors office opens call them immediatly! I wish you the best and God bless! Please keep us posted on how your doing and what the doctor said ok?

jayabee52
jayabee52 2011-03-14 00:02:59 -0500 Report

Unfortunately, Ellen, I don't have good answers for you. I don't think there's one set sliding scale for everyone.

My bride Jem was on 3 different insulins, Novolog NPH, Novolog R, & Novolin "Aspart". Her endo had her on different sliding scales for the R and the Aspart. What is more, he would change each of the scales from time to time based upon her weight and BG#s I would email to him 2x/wk.

Out of curiosity I googled "insulin sliding scale" and got these hits :

http://www.diabeteswellbeing.com/sliding-scal...

http://www.ihi.org/IHI/Topics/PatientSafety/M...

http://care.diabetesjournals.org/content/24/1...

http://www.deo.ucsf.edu/type2/diabetes-treatm... (multiple pages)

There are many more available.

About your lantus,
This from http://www.lantus.com/ :

"How LANTUS® helps control blood sugar and how it may help you.
With just one shot a day at the same time each day, LANTUS®, the insulin prescribed most by doctors, gives you a steady release of insulin to help control your blood sugar for a full 24 hours.

LANTUS® is taken as part of an overall diabetes treatment plan, which may include diet, exercise, and other diabetes medications.

You must test your blood sugar while using an insulin, such as LANTUS®. Do not make any changes to your dose or type of insulin without talking to your healthcare provider. Any change of insulin should be made cautiously and only under medical supervision… "

So, Ellen, if you feel you need to get your BG#s down ASAP, please be on the safe side and go to the ER. Don't adjust your insulin dosages by yourself. Then on Monday (or ASAP) phone your Dr and let Dr know what has gone on and find out what to do should it happen again.

Let us know (here in this discusssion) how it turns out for you!

Blessings to you and yours

James