Sliding Scale Novolog Question - page 2

by silverhalide 22,510 Views | 11 Comments

I am confused a bit about insulin control/sliding scale. In clinical I had a pt. tonight who is Type 2 Diabetes, he is on a sliding scale of Novolog, BS check Q4. I got on the floor at 330, checked his BS at 4, it was 141.... Read More


  1. 0
    The q4 checks should be used for someone who is NPO; qac and HS checks for someone who is eating (either of these can be checked more frequently or PRN of course). This was the standard we used when I worked med/surg and nursing was able to change the order if the person became NPO or was able to eat after having been NPO.

    Also Type 2 is very different from Type 1, and since Type 2 has a component of insulin resistance (different for each individual) each person is going to have very different insulin requirements.
  2. 1
    I appreciated the information from this thread. Thanks mammac5 and hey_suz.
    http://allnurses.com/diabetes-endocr...ed-659233.html

    Even type 1s have different insulin sensitivities. There are so many variables that affect blood sugar for type 1 and 2. It's different for each diabetic and is perfected only through trial and error. Glucose control is an art, as much as a science.

    I'm thankful hospitals are finally starting to modernize their guidelines for patient blood sugar control. It will make a huge difference in healing time and the patients' overall health and attitude.
    classicdame likes this.


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