insulin sliding scale (ISS)
Jump to navigation
Jump to search
Introduction
Protocol for administration of insulin to control hyperglycemia. Daily basal insulin should also be included in the protocol.[1]
| blood glucose | regular insulin | |
|---|---|---|
| (mg/dL) | (units) | |
| < 60 | give 1 vial D50W, or give orange juice | |
| 60-150 | 0 | (do nothing) |
| 151-200 | 2 | |
| 201-250 | 4 | |
| 251-300 | 6 | |
| 301-350 | 8 | |
| 351-400 | 10 | |
| > 400 | call MD |
Notes
- daily basal insulin should be adjusted to minimize amount of sliding scale administered in the absence of episodes of hypoglycemia
More general terms
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 16, American College of Physicians, Philadelphia 2012
- ↑ Queale WS, Seidler AJ, Brancati FL. Glycemic control and sliding scale insulin use in medical inpatients with diabetes mellitus. Arch Intern Med. 1997 Mar 10;157(5):545-52. PMID: https://www.ncbi.nlm.nih.gov/pubmed/9066459