diabetic slide ruler

By joe1120 Latest Reply 2011-11-12 04:51:53 -0600
Started 2011-11-07 18:39:17 -0600

what is it and hoe is used? Doc want's to show me how to use it.

10 replies

Uncle Lew
Uncle Lew 2011-11-07 20:26:00 -0600 Report

Hi Joe.
Are you sure the doctor wants to teach you how to use a slide ruler. Could he be talking about a sliding scale. I am not a diabetes expert so I hope I am not misleading you but I never heard of using a slide ruler for control of blood glucose levels
From my high school days in the 1960s I remember that a slide ruler is a manual calculating device, now largely obsolete due to electronic calculators, made up of two rulers marked with graduated logarithmic scales, one sliding inside the other.

A sliding scale is a set of blood glucose readings with a set of units of insulin to be taken. You will test some time after you eat (at a time determined by your doctor). You will find the corresponding number on a chart and it will tell you how many units of insulin to take.
Examples: BG 150-199: 2 unit insulin
BG 200-249: 3 units insulin
BG 250-299: 5 units insulin
BG 300-349: 7 units insulin
BG Over 350: 8 units insulin
Your doctor will determine the Blood Glucose ranges and units of insulin to be used for each range.
The biggest problem with a sliding scale is that it is retroactive. It allows your BG to rise to very high levels, hyperglycemia, before it is checked and will allow large swings in glucose control.
I hope this helps.
Good luck.

joe1120 2011-11-08 08:26:55 -0600 Report

Hi jayabee52
yes I'm an insulin user?just talked to the Drs and it is the sliding scale not the ruler
Thank You

Uncle Lew
Uncle Lew 2011-11-09 07:31:18 -0600 Report

Thanks for the gift joe.
I'm glad you got it straightened out. Not to get involved in your business but I think you should ask your doctor why he wants you to use a sliding scale. Rather than prevent high blood glucose levels, this method lets your glucose levels rise, sometimes to dangerous levels and then tries to lower it.
Do a little research on the internet about sliding scales and you will find most doctors will not recommend this method of "control". It is far better for your health to prevent high glucose levels than letting them get high and then try to lower them down.
Again, not wanting to pry into your business, but is your doctor an endocrinologist? If not see one or if he is maybe see another for a second opinion. An endo or different endo can probably work out a pro-active preventing plan rather than a reactive plan. To keep your glucose levels low and lessen the chances you developing complications.
Keep us informed on how you make out.
Good Luck

jayabee52 2011-11-09 23:59:29 -0600 Report

My bride Jem when she was alive, used sliding scales since she was so very brittle. Her BGs would hit the stratosphere before we knew it, (and sometimes at night they would plummet like a stone) and so would need to use the sliding scales (2 of them) her endo set up for her. I knew about them since she was blind and I had to draw up her insulin for her.

Uncle Lew
Uncle Lew 2011-11-10 07:45:18 -0600 Report

I am very sorry to hear about your Jen. Her experiences can serve as a good example of why not to use a sliding scale.

jayabee52 2011-11-10 16:51:15 -0600 Report

I wouldn't say so. Thank you for your sorrow over my loss. However she was SO BRITTLE there was no way to predict when she'd go up, so the proactive approach, while admirable would not work for her.

my point was that She was under the care of an ENDO who actually put her on the sliding scale because she was so brittle. I suspect that her passing was due to her heart condition, or her COPD, or her Lupis not her diabetes regimen..

Uncle Lew
Uncle Lew 2011-11-11 08:08:26 -0600 Report

Not to beat a dead horse but are your health conditions prevent yoy from becoming proactive rather than reactive. The sliding scale was developed by endos. This reactive method is like trying to put out a fire whrer a reactive method prevents the fire from happening in the first place. Good luck with what ever you use for control. Godspeed.

jayabee52 2011-11-12 04:51:53 -0600 Report

I understand the difference between the approaches, and if I needed insulin and needed that kind of intervention with my BG levels, I would prefer the proactive.

In a way I do use a proactive method in that I manage my BG levels thrugh what I eat and use no diabetes drugs whatever. When I was on insulin I only used what might be termed a "baby dose" in comparison to what others are using. I only used 17 U of NPH in the AM and 15 U in the PM. I started out using 10 U and 8 U of NPH respectively when first put on insulin in 2006.

I discovered however at the beginning of 2011 that my pancreas put out enough insulin that if I ate very carefully I could maintain a "nomal" BG level.

jayabee52 2011-11-09 01:08:24 -0600 Report

That's what I thought. I have never needed a sliding scale, My insulin usage was very low since I started using insulin, but when my bride "Jem" was alive she needed 2 different sliding scales for 2 different insulins plus a basal longer acting insulin dosage. I had to keep it straight for her and draw up the right dosages at the right times as she was totally blind.

Glad you got it straightened out!

blessings to you and yours Joe


jayabee52 2011-11-07 20:04:45 -0600 Report

Howdy Joe!
Are you an insulin user? Are you talking about taking insulin on a "sliding scale"?

I would not know what a diabetes slide ruler might be, otherwise. Could you take a picture of this instrument (slide ruler) and post it in your "my pictures" tab?

By all means if Dr is willing to show you how to use it, let him! Too often Drs don't take the time to teach anything about diabetes.

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