Sliding Scale Insulin?

By Tristan2012 Latest Reply 2013-09-11 14:30:32 -0500
Started 2013-08-25 09:30:28 -0500

Hello everyone!

I was just recently hospitalized because my diabetes was out of control. While in the hospital I was taken off all of the oral diabetes medications I was on and put on two different types of insulin. One is a sliding scale (Humalog) and the other Levemir. The doctors said to adjust the sliding scale as needed but didn't state how to or when to. I'm rather new to all this insulin stuff and am confused on what to do with it. As of now I'm on 26 units of Humalog before meals, 65 units of Levemir in the morning, and 50 units of Levemir at night. Any advise would be greatly appreciated. I can't get in to see my Endo dr. until october. :/

2 replies

Armourer 2013-09-11 14:30:32 -0500 Report

You really need to address this with your doc. Diabetes is different with each person, and what works for me, may be different for you. That said, this is what I do: 22 units baseline humalog, for every 50 points over 150, I add 1 unit. This is sliding scale for "me." Best to you!

silvie mae
silvie mae 2013-08-25 18:32:38 -0500 Report

Tristan2012, I'm very sorry to hear that you were hospitalized. Starting on insulin is a very big step. I would call your doctor and ask for a more detailed explanation about the sliding scale. You need to know how much Humalog is needed before meals. Did he tell you how many carbs to eat for each meal?
For example my insulin to carb ratio is 1unit of Humalog for 11 carbs. And then my correction factor is 80. So 1 unit if my B/G is 80 points past 100.
I'm type 1 and insulin sensitive, so my insulin needs are a lot less than what yours are. But you still need to know your insulin to carb ratio in order to make sure you are not giving too little or too much. It's vital information to know.
There are several sliding scales also, did he provide you with a chart?
I would seek out a good endocrinologist and a diabetes educator if I were you. It is extremely important for you to have a good understanding about how to use your insulin.