My father was recently discharged from a nursing home and he takes 2 different kinds of insulin. Novolog 70/30 and Novolog Aspart (Sliding Scale). I've heard about sliding scale before but when i brought it up to his pharmacist she did not know much about it (got me concerned). I found this one sliding scale online, listings of how much units to give depending on what his blood sugar level is. So I was wondering if that sliding scale is a standard one for all patients or different for each patient.
"So I was wondering if that sliding scale is a standard one for all patients or different for each patient."
It is best to consult with your father's doctor to identify the exact amount he/she recommends. A sliding scale can be used on most patients when only using ONE insulin type, not two as in your father's case. The 30 in Novolog 70/30 is short/fast acting [70 intermediate/all day] and Novolog Aspart is entirely short/fast acting. Too much can induce hypoglycemia. HTH
"A sliding scale can be used on most patients when only using ONE insulin type, not two as in your father's case."
Ooops, should clarify this statement. I meant to say, "An average sliding scale can be used on most patients when only using ONE insulin type, not two as in your father's case." Your father's doctor may have his/her own sliding scale designated for your father. Apologize for the confusion.
Type 2. taking 20 units of Lantus at 6 PM. and told to take my Novolog on a sliding scale and given the sliding scale. 1 unit for every 50mg/dl over 100 mg/dl. Problem being I am always 100 + - before meals and don't need insulin. So when do I take the Novolog? I been waiting 2 hrs and using it to get from my normal 250 - 300 (After meals) down to an acceptable level.<140.
"1 unit for every 50mg/dl over 100 mg/dl. Problem being I am always 100 + - before meals and don't need insulin."
Is the former your scale? If yes, why do you say "don't need insulin"?
"I been waiting 2 hrs and using it to get from my normal 250 - 300 (After meals) down to an acceptable level.<140."
Levels of 250-300 anytime are dangerous. Getting this high postprandial indicates you're not following a diabetic diet low in no carbs, no sugary foods or drinks, and no starches. Basically you're continuing to eat the wrong type of foods which contributed to making you a diabetic. You should try to eat better nutrition or you're asking for diabetes side effects to occur, some which are quite horrible. Try speaking with your doctor to see whether your scale requires adjusting to your lifestyle. Good luck -
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