In sliding-scale insulin therapy, the dose is based on your blood sugar level. Find out how it works and learn about problems with this diabetes. Lantus (Insulin Glargine), a long-acting insulin is used for treating type 1 Q: Can Lantus be used as a sliding scale with my current insulin of. Chapter 21 – Adjusting the Insulin Dosage and “Thinking” Scales hours, the evening NPH or Lantus (given at It is important to emphasize that “sliding”.

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In most cases, fast-acting insulin is used. I take 12U of Lantus Solostar insulin at bedtime. For patients with poor glycemic control i. Correctional dosing of insulin fine tunes suboptimal glycemic control by offering the flexibility of adding insulin beyond the calculated nutritional dose. Consider Lantus only if recurrent nocturnal hypoglycemia despite adjusting bedtime NPH Start here if Get immediate access, anytime, anywhere.

Intravenous To Subcutaneous For patient transitioning slidijg sliding scale subcutaneous insulin only For more on diabetes, see: Medical articles have questioned the effectiveness of sliding-scale insulin sacle at least 11 ; a Medline search of 52 trials from to showed no clinical trials demonstrating benefit from sliding-scale insulin 12 ; and most experts currently question the effectiveness and safety of traditional sliding-scale insulin.

Once you use a Solostar pen, don’t refrigerate it. Transitions in care require special considerations and attention to glycemic control medications. Please consult with your health care provider regarding the symptoms you are experiencing.

Before you use the Solostar pens: Slidinv patients with type 1 diabetes, a short acting insulin needs to be used in combination with Lantus.


Some experts say that sliding-scale insulin therapy should be phased out completely. There is no mention in the prescribing information about using Lantus on a sliding scale. The sliding scale for insulin dosage that slieing based on levels of glycosuria was introduced in10 and the technique was gradually adapted to blood glucose measurements.

Lantus (Insulin Glargine) – Side Effects, Dosage, Interactions – Drugs

The report calls for more studies to compare sliding-scale insulin with other insulin lantux before doctors make the final verdict. Lantus insulin glargine is a man made, long-acting form of human insulin that is used in the treatment of adults and children with type 1 diabetes to control blood glucose sugar levels. Do I need to keep the Lantus Solostar insulin pen in the refrigerator after opening?

Already a member or subscriber? In general, oral medications should be stopped on hospital admission and insulin protocols should be initiated. SNY announced today that Don’t put them next to the freezer or near a freezer pack. It is recommended that hospital slidding establish a target glucose range Table 1.

Don’t run it under water or use any soap or solvents. This is common in the hospital or nursing home setting. This increase in blood glucose can lead to multiple health complications including heart disease, kidney disease, and eye and foot problems. Lantus is known to have a noticeable “hospital odor” which some say it smells like Band-Aids.

Remember also not to self-inject if you don’t fully understand how to administer the injection and how to properly dispose of used needles and syringes. Traditional sliding-scale insulin should be abandoned as the sole means of slicing blood glucose levels in hospitalized patients.


I am taking Lantus. What are the disadvantages of sliding-scale insulin?

If possible, use one pharmacy for all your prescription medications and over-the-counter products. Jeffrey Baruch Created Date: Insulin therapy should be continued upon hospital discharge of capable patients already on two or scape oral diabetic medications and with an admission A1C greater than 10 percent. Challenges in effective discharge planning for hospitalized patients with diabetes.

Sliding Scale: Lantus Insulin Sliding Scale

Standards of medical care in diabetes— Calculated total daily dose of insulin: Do not start or stop any medications or treatments without first talking to your doctor. Severe hypoglycemia may lead to brain damage, seizures, and death. People who have had diabetes for a long time, have diabetic neuropathy, or are on certain medications for heart disease or high blood pressure may be less able to recognize the symptoms of lantuw.

What does one do in sloding summer when the house is in the 90’s?

Sliding-Scale Insulin Therapy

Practical guidelines for implementing physiologic subcutaneous insulin have been published. If possible, use one pharmacy for all your prescriptions and over-the-counter products. When you take insulin before bed and wake up with…. Management of diabetes mellitus in hospitalized patients: Instead, they recommend using basal insulin, with mealtime insulin added as needed.